ELTON G. FENNELL M.D.
NPI 1497705891
Obstetrics & Gynecology in Evansville, IN

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
415 W COLUMBIA ST, STE 110, EVANSVILLE, IN 47710(812) 450-3363(812) 450-3071 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Dec 23, 2024, Apr 18, 2024 and 2 more (5 updates tracked since 2018).

About Elton G. Fennell M.d. NPPES

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

ELTON G. FENNELL M.D. (NPI 1497705891) is an individual obstetrics & gynecology provider in Evansville, Indiana, licensed in Massachusetts (235209) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1497705891
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameELTON G. FENNELLCredential: M.D.
Location Address415 W COLUMBIA ST, STE 110Evansville, IN 47710-1656
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-3363 · Fax (812) 450-3071
Fax(812) 450-3071
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 11, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1497705891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in MA · 235209 Licensed in IN · 01074892A Licensed in WI · 45090
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 01074892A (IN)
415 W COLUMBIA ST, Evansville, IN 47710

Secondary Practice Locations 2

Location 1420 N Sawyer RdKendallville, IN 46755-2572 · Phone (260) 347-8030 · Fax (260) 347-8035
Location 23400 E Racine StJanesville, WI 53546-2344 · Phone (608) 373-8000 · Fax (608) 371-8928

Other Identifiers 2

Medicaid2157934MA
Medicaid1497705891WI

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

Elton G. Fennell M.d. 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 ID7012950926
PECOS Enrollment IDI20050929000686
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Clinical Medical Laboratory
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Nurse Practitioner (Family)
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Clinic/Center (Radiology)
415 W COLUMBIA ST
EVANSVILLE, IN 47710

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 Elton Fennell's NPI number?

The NPI number for Elton Fennell is 1497705891. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Elton Fennell located?

Elton Fennell practices at 415 W Columbia St Ste 110, Evansville, IN 47710. The listed phone number is (812) 450-3363.

What is Elton Fennell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elton Fennell enrolled in Medicare?

Yes. Elton Fennell 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.

When was this NPI record last updated?

The NPPES record for Elton Fennell was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.