NPIMap

Individual provider Active NPI

Terry D Fenwick, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Vincennes, IN
National Provider Identifier
1881674364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
01032369A Issued in IN
Practice address
2121 Willow St
Vincennes, IN 47591-5355
Phone
(812) 882-6637
Fax
(812) 886-8938
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 01032369A IN Primary

Addresses

Primary practice location

2121 Willow St
Vincennes, IN 47591-5355

Mailing address

2121 Willow St
PO Box 316
Vincennes, IN 47591-5355
Phone (812) 882-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070418000319 IN Practitioner - Orthopedic Surgery 3274638358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

2121 Willow St
Vincennes, IN 47591-5355
Phone (812) 477-1558

225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.6 of 100Reported as group
Quality
60.71
Promoting interoperability
33
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)14
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01032369AINMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedic Surgeons, Inc. Sports Medicine CurrentSince Jul 1, 2022 Accepting new patients
Quest Orthopedics, PC CurrentSince Jul 15, 2002 Accepting new patients
Orthopaedics-Indianapolis, Inc Sports Medicine CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Sports Medicine CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Orthopaedics-Indianapolis, Inc Current Accepting new patients
Kennedy Foot Care LLC PastSince Aug 30, 2013 Accepting new patients
Vincennes Orthopaedic Surgery Clinic, Inc Past Accepting new patients

Locations

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

8450 Northwest Blvd
Indianapolis, IN 46278

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

421 E Van Trees St
Washington, IN 47501
Phone (812) 254-2663

Interoperability endpoints

  • Direct secure messaging: tfenwick@tsos.srs-direct.com

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881674364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILLOW ST",
            "address_2": "PO BOX 316",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915355",
            "telephone_number": "812-882-6637",
            "fax_number": "812-886-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILLOW ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915355",
            "telephone_number": "812-882-6637",
            "fax_number": "812-886-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "TERRY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01032369A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.