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KIMBERLY B FORTNER M.D.
NPI 1033217930
Obstetrics & Gynecology - Maternal & Fetal Medicine in Nashville, TN

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly B Fortner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY B FORTNER M.D. (NPI 1033217930) is an individual maternal & fetal medicine provider in Nashville, Tennessee, licensed in Tennessee (MD39847) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2001).

NPPES Registry Identity

NPI1033217930
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameKIMBERLY B FORTNERCredential: M.D.
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3601 TvcNashville, TN 37232-0001 · (615) 322-3000
Phone(615) 322-3000
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2001
Enumeration DateSeptember 21, 2006
Last NPPES UpdateDecember 31, 2014
✔ NPI 1033217930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in TN · MD39847✔ Licensed in NC · 2008-01096
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD0000039847 (TN)
3601 TVC, Nashville, TN 37232
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified3331222TN
Medicare UPINI32214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly B Fortner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173569829
PECOS Enrollment IDI20050701000864
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Fortner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Health System, Inc
106 mi
Family Medicine
208 CENTRAL AVE W
Jamestown, TN 38556
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1669164307 (865) 670-6754
Regional Obstetrical Consultants PC
114 mi
Maternal & Fetal Medicine
902 MCCALLIE AVE
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 45 clinicians in this Medicare group
NPI 1861485146 (423) 664-4460
University Of Tennessee
119 mi
Family Medicine
294 SUMMAR DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 95 clinicians in this Medicare group
NPI 1780686436 (731) 423-1932
High Risk Obstetrical Consultants, PLLC
160 mi
Maternal & Fetal Medicine
1930 ALCOA HWY STE A435
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 21 clinicians in this Medicare group
NPI 1770724676 (865) 263-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
74%86 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
50%161 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
52%29 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
78%105 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%28 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 57% · 44 patients
80%44 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
18%118 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%118 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%118 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE ANNE RAINES APRN
Pediatrics
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LEALANI MAE ACOSTA MD
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ELLEN HOUSE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. DEBORAH P JONES MD
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
SPYROS KALAMS MD
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ROBERT BAUM MD
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
KENNETH SHARP MD
Surgery
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JOHN DOWNING MD
Anesthesiology
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Fortner's NPI number?

The NPI number for Kimberly Fortner is 1033217930. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Kimberly Fortner located?

Kimberly Fortner practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Kimberly Fortner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Kimberly Fortner enrolled in Medicare?

Yes. Kimberly Fortner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Fortner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fortner reassigns Medicare benefits to 4 organizations: University Health System, Inc (Jamestown, TN), Regional Obstetrical Consultants PC (Chattanooga, TN), University Of Tennessee (Jackson, TN) and High Risk Obstetrical Consultants, PLLC (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fortner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fortner accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Kimberly Fortner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Fortner was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.