Jeffrey E. Fernley, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

H0068754 Issued in MD

Practice address

9733 Healthway Drive
Berlin, MD 21811

Phone

(410) 641-9450

Fax

(410) 641-9515

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

82.2 of 100Reported as group

Quality

70.92

Promoting interoperability

98

Improvement activities

40

Cost

71.41

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlantic General Hospital Corporation

  dba Atlantic General Health System

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171

  Anesthesiology

  Medicare reassignment NPD
• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment NPD
• Cumberland Anesthesia Ams LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1033531785

  MD

  Medicare reassignment NPD
• Northern Arizona Healthcare Corporation

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1669914552

  Anesthesiology

  Medicare reassignment NPD
• Tidalhealth Atlantic, Inc.

  dba AGHRx RediScripts Ocean Pines

  • Community/Retail Pharmacy
  • Berlin, MD
  • NPI 1740963859
  NPD
• Flagstaff Pathology Associates

  dba Pathology Associates of Northern AZ

  • Anatomic Pathology & Clinical Pathology Physician
  • Flagstaff, AZ
  • NPI 1306205612
  NPD
• Northern Arizona Healthcare Corporation

  dba Northern Arizona Healthcare Children's Health Center

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1235732702
  NPD
• Atlantic Immedicare LLC

  • General Practice Physician
  • Ocean City, MD
  • NPI 1518199223
  NPD (past)
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1578559563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD",
            "address_2": "BUILDING ONE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-641-9450",
            "fax_number": "410-641-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9733 HEALTHWAY DRIVE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-641-9450",
            "fax_number": "410-641-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNLEY",
        "first_name": "JEFFREY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3850",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H0068754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79085901",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M Farrell, MD
• Benjamin Troy Farwell
• Kendel Faubert
• Briana Fedorko, DPT
• Sherry A. Ferguson
• Shanisha Fields
• Harriette Settler Fine, LCSW-C
• Brooke Fischer, DPT
• Ryan James Fleming, MPT
• Teresa M. Flores, RN

• Anesthesiology Physician in Berlin, MD
• Providers in Berlin, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.