DR. THOMAS MAXWELL FISSENDEN (M.D.) – Otolaryngology Physician, NPI 1851682090

DR. THOMAS MAXWELL FISSENDEN (M.D.) is a healthcare provider. based in Greeley, Colorado. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 18530 (ND). The NPI Number for DR. THOMAS MAXWELL FISSENDEN (M.D.) is 1851682090

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS MAXWELL FISSENDEN (M.D.)
NPI
1851682090
Phone
(970) 313-2740
Address
5881 W 16TH ST
Enumeration Date
21 April 2011
Last Update Date
20 June 2022

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7013648900
Graduation Year
2011 (15 years ago)
PAC ID
6406147289
Group Practice PAC ID
9931298155
Professional Enrollment ID
I20220629003691
Address ID
ND581034940FA1702XSXXX400

Contacts

Secure Messaging
thomasfissenden@sjhhandhmg.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

227 OTOLARYNGOLOGY in CO

Provider Addresses for DR. THOMAS MAXWELL FISSENDEN (M.D.)

  • 5881 W 16TH ST

    GREELEY, CO 806342910

    Phone: (970) 313-2740

    Fax: (970) 313-2744

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Optinose US, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Optinose US, Inc.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190925002093IOtolaryngologyCATBD
I20220629003691IOtolaryngologyNDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes149149$0
99204New patient office or other outpatient visit, 45-59 minutes9292$0
99213Established patient office or other outpatient visit, 20-29 minutes9071$0
92504Exam of ear using a microscope8975$0
69210Removal of impacted ear wax6965$0
View full utilization report →

Insurance plans in this area (ZIP 80634)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931298155View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YND
Interventional RadiologyND
General SurgeryMN
Nurse PractitionerND
Physical Therapist In Private PracticeND
Nurse PractitionerND
Hospitalist, Internal MedicineND
Family PracticeND
Nurse PractitionerMN
Nurse PractitionerND

Reviews

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Frequently asked questions

Where can patients find DR. THOMAS MAXWELL FISSENDEN (M.D.)'s NPI?
You can confirm DR. THOMAS MAXWELL FISSENDEN (M.D.) with NPI 1851682090; it appears in the national provider directory.
Is DR. THOMAS MAXWELL FISSENDEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. THOMAS MAXWELL FISSENDEN (M.D.) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for DR. THOMAS MAXWELL FISSENDEN (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. THOMAS MAXWELL FISSENDEN (M.D.)?
The snapshot lists Greeley, Colorado for DR. THOMAS MAXWELL FISSENDEN (M.D.); download NPPES for the complete set.
How can I contact DR. THOMAS MAXWELL FISSENDEN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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