JOHN C FENNER (MHS, PA-C) – Physician Assistant, NPI 1770769176
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for JOHN C FENNER (MHS, PA-C)
18697 BAGLEY RD
Middleburg Heights, OH 441303417
Phone: (440) 816-8000
Type: Location
17236 Park Dr
Chagrin Falls, OH 440234641
Phone: (440) 390-0967
Type: Location
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441952007
Phone: (216) 444-2200
Type: Location
2420 Lake Ave
Ashtabula, OH 440044954
Phone: (440) 997-2262
Type: Location
2601 Holme Ave
Philadelphia, PA 191522007
Phone: (215) 442-5040
Fax: (215) 957-2875
Type: Location
Chagrin Falls, Cuyahoga County, Ohio, United States
CHAGRIN FALLS, OH 440234641
Phone: (440) 390-0967
Fax: (440) 543-0885
Type: Mailing
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $29 |
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: 2009-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090202000555 | I | Physician Assistant | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 98 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 85 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 46 | 44 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 38 | 38 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | 28 | $0 |
Insurance plans in this area (ZIP 44130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
Reviews
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