DR. JACQUELINE MARIA FENNERTY DPM
NPI 1992871495
Podiatrist in Springfield, OR

NPI Status: Active since November 27, 2006

Contact Information

1435 G ST
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 735-9420

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  • Individual
  • Female
  • Years of Experience 30
  • Podiatrist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACQUELINE FENNERTY

This page provides the complete NPI Profile along with additional information for Jacqueline Fennerty, a provider established in Springfield, Oregon with a medical specialization in Podiatrist and more than 30 years of experience. She graduated from California School Of Podiatric Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1992871495 assigned on November 2006. The practitioner's primary taxonomy code is 213E00000X with license number DP00292 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1992871495
Provider Name
DR. JACQUELINE MARIA FENNERTY DPM
Other Name
DR. JACQUELINE MARIA KORDICH DPM
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
1435 G ST SPRINGFIELD, OR 97477
Location Phone
(541) 735-9420
Mailing Address
25121 TRIPP RD ELMIRA, OR 97437
Mailing Phone
(415) 219-3875
Mailing Fax
Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year
1996
Is Sole Proprietor?
Yes
Enumeration Date
11-27-2006
Last Update Date
01-14-2025
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A podiatrist like Jacqueline Fennerty provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Secondary Locations

  • 25121 Tripp Rd
    Elmira, OR 97437
    (541) 521-9387

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
DP00292
License State
OR
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
150584MEDICAID (05)OR 

Medicare Participation & PECOS Enrollment Status

Jacqueline Fennerty is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacqueline Fennerty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1254435076

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070403000383

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.2 for a new patient copayment and $17.16 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97477 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.82
  • Minimum New Patient Price $54.96
  • Maximum New Patient Price $166.64
  • Average New Patient Copayment $21.2
  • Minimum New Patient Copayment $13.74
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.68
  • Maximum Established Patient Price $136.19
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.42
  • Maximum Established Patient Copayment $34.04

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992871495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 6 + 7 + 2 + 4 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1992871495.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
1435 G ST
SPRINGFIELD, OR 97477
Durable Medical Equipment & Medical Supplies
1435 G ST
SPRINGFIELD, OR 97477
Durable Medical Equipment & Medical Supplies
1435 G ST
SPRINGFIELD, OR 97477
Family Medicine (Sports Medicine)
1435 G ST
SPRINGFIELD, OR 97477
Physical Therapist (Orthopedic)
1435 G ST
SPRINGFIELD, OR 97477
Physical Therapist
1435 G ST
SPRINGFIELD, OR 97477
Community/Behavioral Health
1435 G ST
SPRINGFIELD, OR 97477
Clinic/Center (Adult Mental Health)
1435 G ST
SPRINGFIELD, OR 97477
Psychiatry & Neurology (Psychiatry)
1435 G ST
SPRINGFIELD, OR 97477
Clinic/Center
1435 G ST
SPRINGFIELD, OR 97477
Physician Assistant (Medical)
1435 G ST
SPRINGFIELD, OR 97477
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1435 G ST
SPRINGFIELD, OR 97477
Nurse Practitioner (Family)
1435 G ST
SPRINGFIELD, OR 97477
Family Medicine
1435 G ST
SPRINGFIELD, OR 97477
Counselor (Mental Health)
1435 G ST
SPRINGFIELD, OR 97477
Physician Assistant
1435 G ST
SPRINGFIELD, OR 97477
Family Medicine
1435 G ST
SPRINGFIELD, OR 97477
Counselor (Mental Health)
1435 G ST
SPRINGFIELD, OR 97477
Physician Assistant
1435 G ST
SPRINGFIELD, OR 97477
Orthopaedic Surgery
1435 G ST
SPRINGFIELD, OR 97477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992871495, enumerated as an "individual" on November 27, 2006.

The provider is located at 1435 G ST SPRINGFIELD, OR 97477 and the phone number is (541) 735-9420.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to verify.