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DOUGLAS K. FENTON M.D.
NPI 1063402709
Obstetrics & Gynecology in Encinitas, CA

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
332 SANTA FE DR, ENCINITAS, CA 92024(760) 901-5155 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas K. Fenton M.d. NPPES

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

DOUGLAS K. FENTON M.D. (NPI 1063402709) is an individual obstetrics & gynecology provider in Encinitas, California, licensed in California (G50262) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oceanside, and is a graduate of University Of Colorado School Of Medicine, Denver (1982).

NPPES Registry Identity

NPI1063402709
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDOUGLAS K. FENTONCredential: M.D.
Location Address332 SANTA FE DREncinitas, CA 92024-5143
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 901-5155
Phone(760) 901-5155
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1982
Enumeration DateOctober 25, 2005
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1063402709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G50262
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

332 SANTA FE DR, Encinitas, CA 92024
Open in Google Maps ↗

Secondary Practice Location 1

Location 14318 Mission AveOceanside, CA 92057-6541 · Phone (858) 554-7439

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

Douglas K. Fenton 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 ID1052590098
PECOS Enrollment IDI20110124000755
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 4

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
114 services105 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
109 services105 patients
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.
24 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

RAFAEL PAPANDREA OPA-C, OT-C
332 SANTA FE DR, SUITE 110
ENCINITAS, CA 92024
San Diego County (760) 943-6700
DR. CHRISTOPHER ANDREJ HAJNIK M.D.
Orthopaedic Surgery
332 SANTA FE DR, SUITE 110
ENCINITAS, CA 92024
San Diego County (760) 943-6700
JEAN MULLER MS, RD
Dietitian, Registered (Nutrition, Renal)
332 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 632-2323
JAMES K GILLAN PA C
Physician Assistant (Surgical)
332 SANTA FE DR, SUITE 110
ENCINITAS, CA 92024
San Diego County (760) 943-6700
SHAUN ROLAND BLAKE DPT
Physical Therapist
332 SANTA FE DR, STE 120
ENCINITAS, CA 92024
San Diego County (760) 942-4400
MS. SUSIE L. CROKE P.T., C.S.C.S.
Physical Therapist
332 SANTA FE DR, STE 120
ENCINITAS, CA 92024
San Diego County (760) 942-4400
NAYNA PATEL MD
Physical Medicine & Rehabilitation
332 SANTA FE DR, SUITE 110
ENCINITAS, CA 92024
San Diego County (760) 943-6700
VIENTO DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
332 SANTA FE DR, STE 100
ENCINITAS, CA 92024
San Diego County (760) 632-2323

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 Douglas Fenton's NPI number?

The NPI number for Douglas Fenton is 1063402709. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Douglas Fenton located?

Douglas Fenton practices at 332 Santa Fe Dr, Encinitas, CA 92024. The listed phone number is (760) 901-5155.

What is Douglas Fenton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Fenton enrolled in Medicare?

Yes. Douglas Fenton 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.

When was this NPI record last updated?

The NPPES record for Douglas Fenton was last updated on March 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.