THOMAS E FELLENS MD
NPI 1972551638
Obstetrics & Gynecology in Florence, KY

Q: What is Thomas Fellens's NPI number?

The NPI number for Thomas Fellens is 1972551638. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Thomas Fellens's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Fellens was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

7607 DIXIE HWY, FLORENCE, KY 41042(859) 655-6100 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 15, 2021, Oct 9, 2018, Jan 18, 2017 (3 updates tracked since 2017).

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About Thomas E Fellens Md NPPES

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

THOMAS E FELLENS MD (NPI 1972551638) is an individual obstetrics & gynecology provider in Florence, Kentucky, licensed in Kentucky (32782) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1984).

NPPES Registry Identity

NPI1972551638

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTHOMAS E FELLENSCredential: MD

Location Address7607 DIXIE HWYFlorence, KY 41042-2689

Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100

Phone(859) 655-6100

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1984

Enumeration DateMay 5, 2006

Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration

NPPES CertifiedMarch 15, 2021

✔ NPI 1972551638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in KY · 32782✔ Licensed in OH · 35052398F

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7607 DIXIE HWY, Florence, KY 41042

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Other Identifiers 3

Medicaid200366960IN

Medicaid64327828KY

Medicaid0827172OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Thomas E Fellens 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 ID7618925553

PECOS Enrollment IDI20050107000406

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 Thomas Fellens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpoint Family Care Inc

9.8 mi

Federally Qualified Health Center (FQHC)

215 E 11TH ST
Newport, KY 41071

Reassigned Medicare billing, Kentucky enrollment
69 clinicians in this Medicare group

NPI 1508889742 (859) 655-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

HEALTHPOINT FAMILY CARE, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))