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JAMES T FESENMEIER MD
NPI 1649294166
Psychiatry & Neurology - Neurology in Avon, IN

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
1115 RONALD REAGAN PKWY, STE 141, AVON, IN 46123(317) 948-5450(317) 217-2585 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Jan 21, 2021 (2 updates tracked since 2021).

About James T Fesenmeier Md NPPES

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

JAMES T FESENMEIER MD (NPI 1649294166) is an individual neurology provider in Avon, Indiana, licensed in Indiana (01040145A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1649294166
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES T FESENMEIERCredential: MD
Location Address1115 RONALD REAGAN PKWY, STE 141Avon, IN 46123-6913
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 948-5450
Fax(317) 217-2585
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1649294166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 01040145A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1115 RONALD REAGAN PKWY, Avon, IN 46123
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other000000333460IN · Anthem
Medicaid100334160IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

James T Fesenmeier 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 ID3173598059
PECOS Enrollment IDI20040902000216
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 11

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,225 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
234 services161 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.
62 services56 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.
53 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

OTOLARYNGOLOGY ASSOCIATES LLC
Otolaryngology
1115 RONALD REAGAN PKWY, STE 255
AVON, IN 46123
Hendricks County (317) 844-7059
DR. STEPHEN J HARTSOCK MD
Family Medicine (Sports Medicine)
1115 RONALD REAGAN PKWY, STE 148
AVON, IN 46123
Hendricks County (317) 962-8893
DR. STEPHEN H POLLOM M.D.
Internal Medicine
1115 RONALD REAGAN PKWY, STE 318
AVON, IN 46123
Hendricks County (317) 217-2600
REBECCA J TREPCOS-KLINGER AUD
Audiologist
1115 RONALD REAGAN PKWY, STE 254
AVON, IN 46123
Hendricks County (317) 705-2700
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Surgery
1115 RONALD REAGAN PKWY, SUITE 224
AVON, IN 46123
Hendricks County (317) 272-7352
IBRAHIM S ABU ROMEH MD
Internal Medicine (Interventional Cardiology)
1115 RONALD REAGAN PKWY, STE 171
AVON, IN 46123
Hendricks County (317) 217-3000
HEATHER RENEE SEABORNE FNP
Nurse Practitioner (Family)
1115 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 948-3200
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Family Medicine
1115 RONALD REAGAN PKWY, SUITE 100
AVON, IN 46123
Hendricks County (317) 272-7013

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 James Fesenmeier's NPI number?

The NPI number for James Fesenmeier is 1649294166. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Fesenmeier located?

James Fesenmeier practices at 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123. The listed phone number is (317) 948-5450.

What is James Fesenmeier's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Fesenmeier enrolled in Medicare?

Yes. James Fesenmeier 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 James Fesenmeier accept?

Health plans from CareSource list James Fesenmeier 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 James Fesenmeier affiliated with any hospitals?

According to CMS data, James Fesenmeier is affiliated with Indiana University Health and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for James Fesenmeier was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.