GEOFFREY C FENNER MD
NPI 1629176003
Plastic Surgery in Kenilworth, IL

Q: What is Geoffrey Fenner's NPI number?

The NPI number for Geoffrey Fenner is 1629176003. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Geoffrey Fenner's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Geoffrey Fenner was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

512 GREEN BAY ROAD, KENILWORTH, IL 60043(847) 716-2400(847) 716-2401 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Geoffrey C Fenner Md NPPES

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

GEOFFREY C FENNER MD (NPI 1629176003) is an individual plastic surgery provider in Kenilworth, Illinois, licensed in Illinois (036081864) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Indiana University School Of Medicine (1988).

NPPES Registry Identity

NPI1629176003

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameGEOFFREY C FENNERCredential: MD

Location Address512 GREEN BAY ROADKenilworth, IL 60043

Mailing Address512 Green Bay RoadKenilworth, IL 60043 · (847) 716-2400 · Fax (847) 716-2401

Phone(847) 716-2400

Fax(847) 716-2401

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 1988

Enumeration DateSeptember 20, 2006

Last NPPES UpdateOctober 29, 2020

NPPES CertifiedOctober 29, 2020

✔ NPI 1629176003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in IL · 036081864

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

512 GREEN BAY ROAD, Kenilworth, IL 60043

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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

Geoffrey C Fenner 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 ID9739111337

PECOS Enrollment IDI20050902000668

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 Reassignment

Medicare enrollment records show Geoffrey Fenner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fenner Plastic Surgery, Ltd.

Same address

Plastic Surgery

512 GREEN BAY RD
Kenilworth, IL 60043

Reassigned Medicare billing, Illinois enrollment

NPI 1316194285 (847) 716-2400

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 17

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

88 services88 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

87 services68 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

39 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm 11643

This procedure involves the careful removal of a cancerous growth on the face, ears, eyelids, nose, lips, or mouth that measures between 2.1 to 3.0 cm. The goal is to eliminate the cancer while preserving surrounding healthy tissue.

27 services25 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

25 services25 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

24 services18 patients

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11442

This procedure involves the removal of a noncancerous skin growth on your face, ears, eyelids, nose, lips, or mouth that measures between 1.1-2.0 cm. It's a safe process to enhance your comfort and appearance.

22 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services18 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

18 services14 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm 11604

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

15 services12 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm 13131

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size is between 1.1-2.5 cm. This repair may involve multiple layers of sutures and could require reconstruction of the skin.

14 services13 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151

This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.

14 services12 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

13 services11 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

13 services12 patients

Removal of capsule around breast implant 19371

This procedure involves removing the protective layer around a breast implant, often due to complications such as hardening or displacement. It's a surgical process performed under anesthesia, aiming to improve comfort and aesthetic appearance.

12 services12 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60043 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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 Geoffrey Fenner's NPI number?

The NPI number for Geoffrey Fenner is 1629176003. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Geoffrey Fenner located?

Geoffrey Fenner practices at 512 Green Bay Road, Kenilworth, IL 60043. The listed phone number is (847) 716-2400.

What is Geoffrey Fenner's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Geoffrey Fenner enrolled in Medicare?

Yes. Geoffrey Fenner 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 Geoffrey Fenner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Geoffrey Fenner reassigns Medicare benefits to Fenner Plastic Surgery, Ltd. (Kenilworth, IL). 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 Geoffrey Fenner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Geoffrey Fenner affiliated with any hospitals?

According to CMS data, Geoffrey Fenner is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Geoffrey Fenner was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.