DR. THOMAS N FENNESSY (MD) – Family Medicine Physician, NPI 1356357149

DR. THOMAS N FENNESSY (MD) is a healthcare provider. based in Tilden, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 34333 (IA). The NPI Number for DR. THOMAS N FENNESSY (MD) is 1356357149

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS N FENNESSY (MD)
NPI
1356357149
Phone
(402) 368-9964
Address
306 WEST 2 STREET
Enumeration Date
31 July 2006
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4026432971
Graduation Year
2000 (26 years ago)
PAC ID
3870589526
Group Practice PAC ID
3274528989
Professional Enrollment ID
I20220804002367
Address ID
NE684342299SE300XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

953 FAMILY PRACTICE in NE

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Provider Addresses for DR. THOMAS N FENNESSY (MD)

  • 2, Short Street, West Hamburg, Tilden Township, Berks County, Pennsylvania, 19526, United States

    TILDEN, NE 68781

    Phone: (402) 368-9964

    Fax: (402) 368-5675

    Type: Location

  • 2900 MIMICK DR

    NORFOLK, NE 687013350

    Phone: (402) 992-0659

    Fax: (402) 625-0005

    Type: Mailing

  • 2501 LAKERIDGE DR STE 104

    NORFOLK, NE 687012558

    Phone: (402) 368-9964

    Fax: (402) 368-5675

    Type: Location

  • North 29th Street, Norfolk, Madison County, Nebraska, United States

    STE 5

    NORFOLK, NE 687013261

    Phone: (402) 368-9964

    Fax: (402) 368-5675

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $1,103.

Total Amount is formed as General ($1,103) + Research ($0) + Ownership ($0) = $1,103.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Medtronic, Inc. ($1,070).

Total Amount

$1,103

General + Research + Ownership

Payments

2

Total payment records

General Amount

$1,103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$1,070
Kerecis Limited$33
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: 2022-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040519001391IEmergency MedicineNETBD
I20140409001639IFamily PracticeSDTBD
I20220804002367IFamily PracticeTXTBD

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
99283Emergency department visit with low level of medical decision making3632$0
99285Emergency department visit with high level of medical decision making1412$0
View full utilization report →

Insurance plans in this area (ZIP 68781)

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Provider's Procedures

DR. THOMAS N FENNESSY (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINENE93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3115

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: 3274528989View full group profile
NameSpecialtyState
Emergency Medicine, GastroenterologyLA
Physician AssistantNE
Family PracticeNE
Family PracticeNE
Family PracticeTX
Family PracticeMN
-NE
Family PracticeNE
Pulmonary DiseaseNE
Family PracticeNE

Reviews

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Frequently asked questions

How do I look up DR. THOMAS N FENNESSY (MD) by NPI?
Use NPI 1356357149 when you need to reference DR. THOMAS N FENNESSY (MD) in forms, claims, or directories.
Is DR. THOMAS N FENNESSY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. THOMAS N FENNESSY (MD)?
The page reflects Family Medicine Physician for DR. THOMAS N FENNESSY (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. THOMAS N FENNESSY (MD)?
The snapshot lists Tilden, Nebraska for DR. THOMAS N FENNESSY (MD); download NPPES for the complete set.
What if Tilden, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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