DR. FRANKLYN FENTON MD
NPI 1790180768
Hospitalist in New York, NY

Active since November 03, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST, NEW YORK, NY 10065(212) 746-4071 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Nov 16, 2023, Apr 26, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Franklyn Fenton Md NPPES

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

DR. FRANKLYN FENTON MD (NPI 1790180768) is an individual hospitalist provider in New York, New York, licensed in New York (305124) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1790180768
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. FRANKLYN FENTONCredential: MD
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address525 E 68th St # 331New York, NY 10065-4870 · (212) 312-5780
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateNovember 3, 2014
Last NPPES UpdateJune 11, 20256 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1790180768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 305124
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 305124 (NY)
Also ListedPediatricsTaxonomy 208000000X · License 305124 (NY)
525 E 68TH ST, New York, NY 10065

Other Identifiers 1

Other305124NY · Medical License

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

Dr. Franklyn Fenton 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 ID9739469792
PECOS Enrollment IDI20210830002097
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 2

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.

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.
69 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services11 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Surgery
525 E 68TH ST
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
Specialist
525 E 68TH ST
NEW YORK, NY 10065
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065

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 Franklyn Fenton's NPI number?

The NPI number for Franklyn Fenton is 1790180768. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Where is Franklyn Fenton located?

Franklyn Fenton practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-4071.

What is Franklyn Fenton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Franklyn Fenton enrolled in Medicare?

Yes. Franklyn Fenton 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.

Is Franklyn Fenton affiliated with any hospitals?

According to CMS data, Franklyn Fenton is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Franklyn Fenton was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.