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JAMES R. FENTON M.D.
NPI 1912112806
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Midland, MI

Active since May 14, 2007PECOS Enrolled
4201 CAMPUS RIDGE DR, MIDLAND, MI 48670(989) 794-2969 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Nov 5, 2025, Mar 24, 2023 and 1 more (4 updates tracked since 2018).

About James R. Fenton M.d. NPPES

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

JAMES R. FENTON M.D. (NPI 1912112806) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Midland, Michigan, licensed in Michigan (4301087734) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912112806
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAMES R. FENTONCredential: M.D.
Location Address4201 CAMPUS RIDGE DRMidland, MI 48670-4200
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 794-2969
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1912112806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in MI · 4301087734✔ Licensed in PA · MD496203
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4201 CAMPUS RIDGE DR, Midland, MI 48670
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Secondary Practice Locations 2

Location 14100 Campus Ridge DrMidland, MI 48670-1038 · Phone (989) 794-2969 · Fax (989) 488-5455
Location 2100 E Lancaster Ave Ste 275Wynnewood, PA 19096-3450 · Phone (610) 527-1600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James R. Fenton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799917951
PECOS Enrollment IDI20150320000407
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 Reassignments

4

Medicare enrollment records show James Fenton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesys Practice Partners,inc
44 mi
Clinical Cardiac Electrophysiology
3452 GENESYS PKWY
Grand Blanc, MI 48439
  • Reassigned Medicare billing, Michigan enrollment
  • 59 clinicians in this Medicare group
NPI 1932496932 (810) 606-7550
Metropolitan Hospital
90 mi
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1720590961 (616) 252-4010
Main Line Healthcare
507 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585
City Of Hope Medical Group Of Georgia LLC
703 mi
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333

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 3

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.

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.
57 services57 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.
32 services30 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48670 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 7

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

KRISTIN LYNNE POHL CGC
Genetic Counselor, MS
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 794-0320
MRS. AMY DOORNBOS PA
Physician Assistant (Medical)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 839-6188
REBECCA J MACFALDA M.S.
Genetic Counselor, MS
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 794-0320
GALEN ANTHONY OHNMACHT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 794-2969
TAYLOR CHMURA MS, CGC
Genetic Counselor, MS
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 794-0320
MRS. LORI DEAN HARRIS MSN, APRN, FNP-C
Nurse Practitioner
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 839-3360
LILAH MARIA HAINES PA-C
Physician Assistant
4201 CAMPUS RIDGE DR
MIDLAND, MI 48670
Midland County (989) 488-5010

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 Fenton's NPI number?

The NPI number for James Fenton is 1912112806. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is James Fenton located?

James Fenton practices at 4201 Campus Ridge Dr, Midland, MI 48670. The listed phone number is (989) 794-2969.

What is James Fenton's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Fenton enrolled in Medicare?

Yes. James Fenton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fenton reassigns Medicare benefits to 4 organizations: Genesys Practice Partners,inc (Grand Blanc, MI), Metropolitan Hospital (Grand Rapids, MI), Main Line Healthcare (Newtown Square, PA) and City Of Hope Medical Group Of Georgia LLC (Newnan, GA). Each 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 Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fenton accept?

Health plans from Oscar Health list James Fenton 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 Fenton affiliated with any hospitals?

According to CMS data, James Fenton is affiliated with Southeastern Regional Medical Center, Inc, Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for James Fenton was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.