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AMANDA MARIE DORNFELD MD
NPI 1811944259
Family Medicine in Columbus, IN

Active since May 30, 2006Opted out of Medicare · through Oct 1, 2027
3118 N NATIONAL RD, COLUMBUS, IN 47201(812) 308-4594(812) 302-2130 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2022, Aug 8, 2018 (2 updates tracked since 2018).

About Amanda Marie Dornfeld Md NPPES

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

AMANDA MARIE DORNFELD MD (NPI 1811944259) is an individual family medicine provider in Columbus, Indiana, licensed in Indiana (01059524A) and active in the NPI registry since May 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811944259
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMANDA MARIE DORNFELDCredential: MD
Location Address3118 N NATIONAL RDColumbus, IN 47201-3169
Mailing Address3118 N National RdColumbus, IN 47201-3169 · (812) 308-4594 · Fax (812) 302-2130
Phone(812) 308-4594
Fax(812) 302-2130
Sole ProprietorYes
Enumeration DateMay 30, 2006
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1811944259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01059524A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3118 N NATIONAL RD, Columbus, IN 47201
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Other Names 1

Former Name (1)Amanda Marie Pencek Md

Other Identifiers 3

Other01059524AIN · Medical License
OtherP00347446Railroad Medicare
Medicaid1811944259IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Marie Dornfeld Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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 2

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

SHIELDSMITH CHIROPRACTIC LLC
Chiropractor
3118 N NATIONAL RD
COLUMBUS, IN 47201
Bartholomew County (812) 371-7908
DR. CHELSEA ELIZABETH SHIELDSMITH D.C.
Chiropractor
3118 N NATIONAL RD
COLUMBUS, IN 47201
Bartholomew County (812) 371-7908

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 Amanda Dornfeld's NPI number?

The NPI number for Amanda Dornfeld is 1811944259. It was assigned to this individual provider in the NPPES registry on May 30, 2006. The provider is also known as Amanda Marie Pencek MD.

Where is Amanda Dornfeld located?

Amanda Dornfeld practices at 3118 N National Rd, Columbus, IN 47201. The listed phone number is (812) 308-4594.

What is Amanda Dornfeld's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amanda Dornfeld enrolled in Medicare?

No. Amanda Dornfeld has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amanda Dornfeld was last updated on April 7, 2022. 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.