DR. BROOKE MICHELLE FAIRMAN DPM
NPI 1902547094
Podiatrist - Foot & Ankle Surgery in Indiana, PA
About Dr. Brooke Michelle Fairman Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BROOKE MICHELLE FAIRMAN DPM (NPI 1902547094) is an individual foot & ankle surgery provider in Indiana, Pennsylvania, licensed in Pennsylvania (SC007540) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Kent State University College Of Podiatric Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Brooke Michelle Fairman Dpm 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.
Medicare Billing Reassignment
Medicare enrollment records show Brooke Fairman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indiana, PA 15701
- Reassigned Medicare billing, Pennsylvania enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana Regional Medical Center
Acute Care Hospitals · Indiana, PAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANA, PA 15701
INDIANA, PA 15701
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 Brooke Fairman's NPI number?
The NPI number for Brooke Fairman is 1902547094. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Brooke Fairman located?
Brooke Fairman practices at 1265 Wayne Ave Ste 307, Indiana, PA 15701. The listed phone number is (888) 452-4762.
What is Brooke Fairman's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Brooke Fairman enrolled in Medicare?
Yes. Brooke Fairman 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 Brooke Fairman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Fairman reassigns Medicare benefits to Indiana Healthcare Physician Services, Inc (Indiana, PA). 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 Brooke Fairman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brooke Fairman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brooke Fairman 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 Brooke Fairman affiliated with any hospitals?
According to CMS data, Brooke Fairman is affiliated with Indiana Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Brooke Fairman was last updated on September 2, 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.
# Dr. Brooke Michelle Fairman, DPM · NPI 1902547094
Foot & Ankle Surgery provider in Indiana, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1902547094 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** SC007540 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1265 WAYNE AVE STE 307, Indiana, PA 15701-3501
- **Phone:** (888) 452-4762
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Indiana Healthcare Physician Services, Inc (NPI 1417409186, Indiana, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kent State University College Of Podiatric Medicine, class of 2022
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902547094) · Data from the CMS NPPES public registry.