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DR. JAMES EDWARD FENLON D.O.
NPI 1750725602
Anesthesiology in Phoenix, AZ

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment
645 E MISSOURI AVE, PHOENIX, AZ 85012(608) 262-8900 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2021, Jan 2, 2017 (2 updates tracked since 2017).

About Dr. James Edward Fenlon D.o. NPPES

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

DR. JAMES EDWARD FENLON D.O. (NPI 1750725602) is an individual anesthesiology provider in Phoenix, Arizona, licensed in Wisconsin (63419) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750725602
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JAMES EDWARD FENLONCredential: D.O.
Location Address645 E MISSOURI AVEPhoenix, AZ 85012-1369
Mailing Address645 E Missouri AvePhoenix, AZ 85012-1369 · (608) 262-8900
Phone(608) 262-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 23, 2013
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1750725602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 63419
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
645 E MISSOURI AVE, Phoenix, AZ 85012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..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. James Edward Fenlon 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 ID8022232107
PECOS Enrollment IDI20170721002454
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 James Fenlon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Anesthesiology Consultants, Inc.
11 mi
Anesthesiology
2262 E ROSE GARDEN LN
Phoenix, AZ 85024
  • Reassigned Medicare billing, Arizona enrollment
  • 518 clinicians in this Medicare group
NPI 1285660704 (954) 939-5000

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
52 services52 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
21 services21 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
15 services15 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
13 services12 patients
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732
This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.
12 services12 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
11 services11 patients

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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
74%222 patients3/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
82%670 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 9

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

DR. AARON PETRILLO M.D.
Anesthesiology
645 E MISSOURI AVE, STE 300
PHOENIX, AZ 85012
Maricopa County (602) 262-8917
HAROLD BRAD EMERSHAD MD
Anesthesiology
645 E MISSOURI AVE, STE 300
PHOENIX, AZ 85012
Maricopa County (602) 262-8900
ALLAN DASKAL MD
Anesthesiology
645 E MISSOURI AVE
PHOENIX, AZ 85012
Maricopa County (602) 262-8900
BROOKE AUDREY BENJAMIN ARNP
Nurse Practitioner (Family)
645 E MISSOURI AVE, STE 300
PHOENIX, AZ 85012
Maricopa County (602) 262-8900
MATTHEW DONALD KORTH
Anesthesiology
645 E MISSOURI AVE, STE 300
PHOENIX, AZ 85012
Maricopa County (602) 262-8900
ABIGAIL STUTZ NNP
Nurse Practitioner (Neonatal)
645 E MISSOURI AVE
PHOENIX, AZ 85012
Maricopa County (602) 476-8962
LAURA L. LU CRNA
Nurse Anesthetist, Certified Registered
645 E MISSOURI AVE, STE 300
PHOENIX, AZ 85012
Maricopa County (602) 262-8900
DANIEL M JIN M.D.
Anesthesiology
645 E MISSOURI AVE, STE 300
PHOENIX, AZ 85012
Maricopa County (602) 262-8900

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 Fenlon's NPI number?

The NPI number for James Fenlon is 1750725602. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is James Fenlon located?

James Fenlon practices at 645 E Missouri Ave, Phoenix, AZ 85012. The listed phone number is (608) 262-8900.

What is James Fenlon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is James Fenlon enrolled in Medicare?

Yes. James Fenlon 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 James Fenlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fenlon reassigns Medicare benefits to Valley Anesthesiology Consultants, Inc. (Phoenix, AZ). 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 James Fenlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fenlon accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list James Fenlon 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.

When was this NPI record last updated?

The NPPES record for James Fenlon was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.