BRADLEY D FENSTER (MD) – Cardiovascular Disease Physician, NPI 1952394314

BRADLEY D FENSTER (MD) is a healthcare provider. based in Kingston, Pennsylvania. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. MD073510L (PA). The NPI Number for BRADLEY D FENSTER (MD) is 1952394314

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY D FENSTER (MD)
NPI
1952394314
Phone
(570) 288-5441
Address
610 WYOMING AVE
Enumeration Date
31 August 2005
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5707357474
Graduation Year
1996 (30 years ago)
PAC ID
3476574377
Group Practice PAC ID
2668696592
Professional Enrollment ID
I20051207000530
Address ID
PA186341602NA4XXXXSTXX400

Contacts

Secure Messaging
bradley.fenster.1@21771.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,006 CARDIOVASCULAR DISEASE (CARDIOLOGY) in PA

Provider Addresses for BRADLEY D FENSTER (MD)

  • Intermountain Medical Group, 610, Wyoming Avenue, Kingston, Luzerne County, Pennsylvania, 18704, United States

    KINGSTON, PA 187043702

    Phone: (570) 288-5441

    Fax: (570) 288-5842

    Type: Mailing

  • 610 WYOMING AVE

    KINGSTON, PA 187043702

    Phone: (570) 283-5806

    Fax: (570) 283-5807

    Type: Location

  • 250, Pierce Street, Kingston, Luzerne County, Pennsylvania, 18704, United States

    SUITE 203

    KINGSTON, PA 187045149

    Phone: (570) 714-2529

    Fax: (570) 714-2531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($134).

Total Amount

$601

General + Research + Ownership

Payments

34

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2005-12-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051207000530ICardiovascular Disease (Cardiology)PATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,070745$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,000783$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function614590$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only607536$0
99214Established patient office or other outpatient visit, 30-39 minutes409301$0
View full utilization report →

Insurance plans in this area (ZIP 18704)

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Provider's Procedures

BRADLEY D FENSTER (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYPA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies3636
INTERVENTIONAL CARDIOLOGYPA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin3024
INTERVENTIONAL CARDIOLOGYPA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report838675
INTERVENTIONAL CARDIOLOGYPA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report4731
INTERVENTIONAL CARDIOLOGYPA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6160

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: 2668696592View full group profile
NameSpecialtyState
Nurse PractitionerPA
General SurgeryPA
Family PracticePA
Physician AssistantPA
-PA
-PA
Physician AssistantPA
Physician AssistantPA
N E U R O L O G YPA
-PA

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Frequently asked questions

What is the 10-digit NPI for BRADLEY D FENSTER (MD)?
BRADLEY D FENSTER (MD) — NPI 1952394314 — is the standard way to identify this listing.
Is BRADLEY D FENSTER (MD) listed as active for patients and plans?
The listing shows BRADLEY D FENSTER (MD) as active in the NPI system.
What taxonomy line describes BRADLEY D FENSTER (MD)?
For research purposes, treat BRADLEY D FENSTER (MD) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is BRADLEY D FENSTER (MD) based?
BRADLEY D FENSTER (MD) is tied to Kingston, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does BRADLEY D FENSTER (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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