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DR. MICHAEL SEAN FENECH D.O.
NPI 1588893697
Obstetrics & Gynecology in Pittsburg, KS

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
1300 E CENTENNIAL DR, PITTSBURG, KS 66762(620) 230-0044(620) 230-0543 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2020, Feb 22, 2017 (2 updates tracked since 2017).

About Dr. Michael Sean Fenech D.o. NPPES

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

DR. MICHAEL SEAN FENECH D.O. (NPI 1588893697) is an individual obstetrics & gynecology provider in Pittsburg, Kansas, licensed in Kansas (0536103) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2009).

NPPES Registry Identity

NPI1588893697
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL SEAN FENECHCredential: D.O.
Location Address1300 E CENTENNIAL DRPittsburg, KS 66762-6650
Mailing Address1 Mt. Carmel WayPittsburg, KS 66762-3807 · (620) 230-0044 · Fax (620) 230-0543
Phone(620) 230-0044
Fax(620) 230-0543
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateMarch 26, 20202 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1588893697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KS · 0536103
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.
1300 E CENTENNIAL DR, Pittsburg, KS 66762
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Other Identifiers 2

Medicaid200493130AOK
Medicaid201074480AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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. Michael Sean Fenech D.o. 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 ID6305089905
PECOS Enrollment IDI20130829000680
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Fenech reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Via Christi Hospital Pittsburg, Inc.
0.3 mi
Internal Medicine
1 MT. CARMEL WAY
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 34 clinicians in this Medicare group
NPI 1760408975 (620) 235-7995
Mercy Clinic Pittsburg LLC
0.3 mi
Internal Medicine
1 MT CARMEL WAY
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group
NPI 1912751884 (620) 231-6100
Hospital District No 1 Crawford County
11 mi
Family Medicine
419 E WASHINGTON
Arma, KS 66712
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1578505095 (Kansas)
  • 54 clinicians in this Medicare group
NPI 1649597147 (620) 347-4711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66762 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.68
Promoting Interoperability98
Improvement Activities40
Cost44.77

Reported Quality Measures

Breast Cancer Screening
49%73 patients3/55-star benchmark: 93%
Cervical Cancer Screening
43%384 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
0%152 patients
Colorectal Cancer Screening
13%108 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
60%25 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
70%868 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%24 patients1/55-star benchmark: 100%
HIV Screening
37%518 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%332 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%615 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%573 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 444 patients
Patients screened: 95% · 444 patients
22%60 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
50%26 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 24 patients
Patients totalRate: 4% · 24 patients
4%24 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

BRANDI PAIGE WHETZELL DNP
Nurse Practitioner
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 230-0044
DR. ALI HAMMAD M.D
Internal Medicine (Cardiovascular Disease)
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 232-5705
VICTORIA A. SHIRLEY DO
Obstetrics & Gynecology
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 230-0044
MARI KATHRYN SEWARD DNP
Nurse Practitioner (Women's Health)
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 230-0044
DR. SHANNON LEIGH DUNCAN DNP
Nurse Practitioner (Women's Health)
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 230-0044
DR. BASHAR MARJI M.D
Internal Medicine (Cardiovascular Disease)
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 231-5965
MISS MEREDITH KAYE ANDERSON P.A.-C
Physician Assistant
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 231-5965
HEATHER LORRAINE BAIMA ARNP
Nurse Practitioner (Family)
1300 E CENTENNIAL DR
PITTSBURG, KS 66762
Crawford County (620) 232-5705

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 Michael Fenech's NPI number?

The NPI number for Michael Fenech is 1588893697. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Michael Fenech located?

Michael Fenech practices at 1300 E Centennial Dr, Pittsburg, KS 66762. The listed phone number is (620) 230-0044.

What is Michael Fenech's specialty?

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

Is Michael Fenech enrolled in Medicare?

Yes. Michael Fenech 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 organizations bill Medicare for Michael Fenech's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fenech reassigns Medicare benefits to 3 organizations: Ascension Via Christi Hospital Pittsburg, Inc. (Pittsburg, KS), Mercy Clinic Pittsburg LLC (Pittsburg, KS) and Hospital District No 1 Crawford County (Arma, KS). Each 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 Michael Fenech's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fenech accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Michael Fenech 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 Michael Fenech affiliated with any hospitals?

According to CMS data, Michael Fenech is affiliated with Via Christi Hospital Pittsburg Inc.

When was this NPI record last updated?

The NPPES record for Michael Fenech was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.