DR. ANDREW A. FEDDER MD
NPI 1588720205
Surgery in Kailua-kona, HI
About Dr. Andrew A. Fedder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW A. FEDDER MD (NPI 1588720205) is an individual surgery provider in Kailua-kona, Hawaii, licensed in Hawaii (MD13027) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andrew A. Fedder 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Fedder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 604 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KAILUA-KONA, HI 96740
KAILUA-KONA, HI 96740
KAILUA-KONA, HI 96740
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 Andrew Fedder's NPI number?
The NPI number for Andrew Fedder is 1588720205. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Andrew Fedder located?
Andrew Fedder practices at 78-6831 Ali'i Drive Suite 422, Kailua-Kona, HI 96740. The listed phone number is (808) 747-8321.
What is Andrew Fedder's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Andrew Fedder enrolled in Medicare?
Yes. Andrew Fedder 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.
Which organization bills Medicare for Andrew Fedder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Fedder reassigns Medicare benefits to Community Health Partners (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Fedder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Fedder was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Andrew A. Fedder, MD · NPI 1588720205
Surgery physician in Kailua-kona, Hawaii. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1588720205 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD13027 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 78-6831 ALI'I DRIVE, SUITE 422, Kailua-kona, HI 96740
- **Phone:** (808) 747-8321 · **Fax:** (808) 323-2119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Partners (NPI 1952912420, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1998
## Record status
- **NPPES last updated:** June 12, 2012
- **Other identifiers:** Medicare UPIN H92789 (HI); Medicare UPIN H92789; Medicaid HI03677 (HI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1588720205) · Data from the CMS NPPES public registry.