Dr. Fecht grew up in Carmel, Indiana after moving from Philadelphia, Pennsylvania in 1983. He graduated cum laude from Wabash College with a Bachelor of Arts degree in biology.

He received his medical degree in 1998 from the Indiana University School of Medicine. He performed his internal medicine residency at Butterworth Hospital affiliated with Michigan State University in Grand Rapids, Michigan. During his final year he received the John R. Horn, M.D. Award for Best Clinical Research and Founders Trust Community Impact award for his work in evaluating preventive care. He also served as chief medicine resident.

He joined Indiana Gastroenterology in July 2005 after completing his three year gastroenterology and hepatology fellowship at St. Louis University School of Medicine. He is board certified in Internal Medicine and its subspecialty Gastroenterology and Hepatology. He is a member of American Gastroenterological Association, American Society for Gastrointestinal Endoscopy and American College of Physicians. His special interests include non-alcoholic fatty liver disease, viral hepatitis, cirrhosis, inflammatory bowel disease, irritable bowel syndrome, preventive medicine, and electronic health information. He performs diagnostic and therapeutic upper endoscopy, colonoscopy, ERCP and capsule endoscopy.

Dr. Fecht and his wife Julie, a part-time pediatrician and full-time mother, have three children. His outside interests and hobbies include roller-blading, ice hockey and Lego.