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DR. THOMAS N FENNESSY MD
NPI 1356357149
Family Medicine in Norfolk, NE

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2501 LAKERIDGE DR STE 104, NORFOLK, NE 68701(402) 368-9964(402) 368-5675 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, Jun 20, 2018 (2 updates tracked since 2018).

About Dr. Thomas N Fennessy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS N FENNESSY MD (NPI 1356357149) is an individual family medicine provider in Norfolk, Nebraska, licensed in South Dakota (5291) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Howard County Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2000).

NPPES Registry Identity

NPI1356357149
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS N FENNESSYCredential: MD
Location Address2501 LAKERIDGE DR STE 104Norfolk, NE 68701-2558
Mailing Address2900 Mimick DrNorfolk, NE 68701-3350 · (402) 992-0659 · Fax (402) 625-0005
Phone(402) 368-9964
Fax(402) 368-5675
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2000
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1356357149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SD · 5291✔ Licensed in IA · 34333✔ Licensed in NE · 22583
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2501 LAKERIDGE DR STE 104, Norfolk, NE 68701
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Other Identifiers 1

Other01724NE · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas N Fennessy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870589526
PECOS Enrollment IDI20220804002367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
58 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services19 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
18 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Howard County Medical Center

Critical Access Hospitals · St Paul, NE
OwnershipVoluntary non-profit - Other
CMS Certification Number281338
LocationP O Box 406, 1113 Sherman StSt Paul, NE 68873 · Howard County
Emergency services Birthing friendly

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281339
Location300 North Columbia AveSeward, NE 68434 · Seward County
Emergency services

Lexington Regional Health Center

Critical Access Hospitals · Lexington, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281361
LocationP O Box 980, 1201 North Erie StLexington, NE 68850 · Dawson County
Emergency services

Phs Indian Hospital At Rosebud

Acute Care Hospitals · Rosebud, SD
OwnershipGovernment - Federal
CMS Certification Number430084
Location400 Soldier Creek RoadRosebud, SD 57570 · Todd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$82.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Fennessy's NPI number?

The NPI number for Thomas Fennessy is 1356357149. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Thomas Fennessy located?

Thomas Fennessy practices at 2501 Lakeridge Dr Ste 104, Norfolk, NE 68701. The listed phone number is (402) 368-9964.

What is Thomas Fennessy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Fennessy enrolled in Medicare?

Yes. Thomas Fennessy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Fennessy accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and Sanford Health Plan list Thomas Fennessy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Fennessy affiliated with any hospitals?

According to CMS data, Thomas Fennessy is affiliated with Howard County Medical Center, Memorial Health Care Systems, Lexington Regional Health Center and Phs Indian Hospital At Rosebud.

When was this NPI record last updated?

The NPPES record for Thomas Fennessy was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.