CHANDLER FOUNTAIN
NPI 1073047965
Radiology - Vascular & Interventional Radiology in Charlottesville, VA
About Chandler Fountain NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANDLER FOUNTAIN (NPI 1073047965) is an individual vascular & interventional radiology provider in Charlottesville, Virginia, licensed in Virginia (0101278936) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Pittsburgh.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Chandler Fountain 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.
Medicare Billing Reassignments
2Medicare enrollment records show Chandler Fountain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Charlottesville, VA 22903
- Reassigned Medicare billing, Virginia enrollment
- 308 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Virginia Medical Center
Acute Care Hospitals · Charlottesville, VAAugusta Health
Acute Care Hospitals · Fishersville, VANovant Health Uva Health System Culpeper Med Cente
Acute Care Hospitals · Culpeper, VACentra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Chandler Fountain's NPI number?
The NPI number for Chandler Fountain is 1073047965. It was assigned to this individual provider in the NPPES registry on April 18, 2017.
Where is Chandler Fountain located?
Chandler Fountain practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9400.
What is Chandler Fountain's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Chandler Fountain enrolled in Medicare?
Yes. Chandler Fountain 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 Chandler Fountain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandler Fountain reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and University Of Virginia Imaging, LLC (Charlottesville, VA). 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 Chandler Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Chandler Fountain affiliated with any hospitals?
According to CMS data, Chandler Fountain is affiliated with University Of Virginia Medical Center, Augusta Health, Novant Health Uva Health System Culpeper Med Cente and Centra Health - Lynchburg Gen Hospital.
When was this NPI record last updated?
The NPPES record for Chandler Fountain was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Chandler Fountain · NPI 1073047965
Vascular & Interventional Radiology physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since April 18, 2017.
## Identity
- **NPI:** 1073047965 (Entity type: Individual)
- **Enumerated:** April 18, 2017
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** 0101278936 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-0816
- **Phone:** (434) 924-9400 · **Fax:** (434) 982-1618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA); University Of Virginia Imaging, LLC (NPI 1700545928, Charlottesville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073047965) · Data from the CMS NPPES public registry.