DR. RICHARD ALFONSE FORTUNATO D.O.
NPI 1033375894
Colon & Rectal Surgery in Pittsburgh, PA

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
320 E NORTH AVE STE 261, PITTSBURGH, PA 15212(412) 359-3901(412) 359-4514 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2020, Sep 10, 2018 (2 updates tracked since 2018).

About Dr. Richard Alfonse Fortunato D.o. NPPES

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

DR. RICHARD ALFONSE FORTUNATO D.O. (NPI 1033375894) is an individual colon & rectal surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS019474) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2003).

NPPES Registry Identity

NPI1033375894
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. RICHARD ALFONSE FORTUNATOCredential: D.O.
Location Address320 E NORTH AVE STE 261Pittsburgh, PA 15212-4756
Mailing Address320 E North Ave Ste 261Pittsburgh, PA 15212-4756 · (412) 359-3901 · Fax (412) 359-4514
Fax(412) 359-4514
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2003
Enumeration DateJuly 31, 2008
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1033375894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in PA · OS019474
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

320 E NORTH AVE STE 261, Pittsburgh, PA 15212

Other Identifiers 1

Other12030949Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Alfonse Fortunato D.o. 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 ID2163547886
PECOS Enrollment IDI20181005000658
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services19 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
18 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers16 claims490 services$3.23 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
7 suppliers23 claims800 services$4.57 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers13 claims225 services$2.49 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
4 suppliers11 claims340 services$5.75 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims1,140 services$0.22 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056
DME-Orthotic Devices · category DF010N
1 supplier13 claims250 services$4.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212
Colon & Rectal Surgery
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212
Colon & Rectal Surgery
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212
Physician Assistant
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212
Colon & Rectal Surgery
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212
Surgery (Surgical Critical Care)
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212
Speech-Language Pathologist
320 E NORTH AVE STE 261
PITTSBURGH, PA 15212

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 Richard Fortunato's NPI number?

The NPI number for Richard Fortunato is 1033375894. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Richard Fortunato located?

Richard Fortunato practices at 320 E North Ave Ste 261, Pittsburgh, PA 15212. The listed phone number is (412) 359-3901.

What is Richard Fortunato's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Richard Fortunato enrolled in Medicare?

Yes. Richard Fortunato 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.

Is Richard Fortunato affiliated with any hospitals?

According to CMS data, Richard Fortunato is affiliated with Allegheny General Hospital, West Penn Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Richard Fortunato was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.