DEWITT CHARLES FORTENBERRY MD
NPI 1114960473
General Practice in Texarkana, TX

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
39.44/100
CMS Quality Rating
2602 SAINT MICHAEL DR, SUITE 302, TEXARKANA, TX 75503(903) 336-2391 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dewitt Charles Fortenberry Md NPPES

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

DEWITT CHARLES FORTENBERRY MD (NPI 1114960473) is an individual general practice provider in Texarkana, Texas, licensed in Texas (L8691) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and maintains a secondary practice location in Texarkana.

NPPES Registry Identity

NPI1114960473
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDEWITT CHARLES FORTENBERRYCredential: MD
Location Address2602 SAINT MICHAEL DR, SUITE 302Texarkana, TX 75503-2387
Mailing Address116 Westlake RdTexarkana, TX 75501-0006 · (903) 293-7093
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1990
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 17, 2023
NPPES CertifiedSeptember 17, 2023
NPI 1114960473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · L8691
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License L8691 (TX)
2602 SAINT MICHAEL DR, Texarkana, TX 75503

Secondary Practice Location 1

Location 14920 Elizabeth StTexarkana, TX 75503-2912 · Phone (903) 792-3812

Other Identifiers 1

Medicaid167594401TX

Accepted Insurance

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

Dewitt Charles Fortenberry Md 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 ID7315919925
PECOS Enrollment IDI20040812000544
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
2,905 services363 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.
345 services313 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
243 services230 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
75 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Specialists Hospital Shreveport

Acute Care Hospitals · Shreveport, LA
OwnershipProprietary
CMS Certification Number190278
Location1500 Line AvenueShreveport, LA 71101 · Caddo County

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

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.

39.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.05
Improvement Activities0
Cost39.84

Referred Medical Equipment & Supplies CMS DME claims 17

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
7 suppliers42 claims42 services$56.99 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers18 claims18 services$11.55 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
5 suppliers13 claims13 services$65.15 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
5 suppliers36 claims36 services$9.63 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
6 suppliers21 claims22 services$61.64 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
4 suppliers69 claims69 services$59.03 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 12

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

Emergency Medicine
2602 SAINT MICHAEL DR
TEXARKANA, TX 75503
Internal Medicine (Pulmonary Disease)
2602 SAINT MICHAEL DR, SUITE 400
TEXARKANA, TX 75503
Anesthesiology
2602 SAINT MICHAEL DR, SUITE 301
TEXARKANA, TX 75503
Anesthesiology
2602 SAINT MICHAEL DR, SUITE 301
TEXARKANA, TX 75503
Nurse Practitioner (Family)
2602 SAINT MICHAEL DR
TEXARKANA, TX 75503
Counselor
2602 SAINT MICHAEL DR, SUITE 203
TEXARKANA, TX 75503
Internal Medicine
2602 SAINT MICHAEL DR, SUITE 205
TEXARKANA, TX 75503
Anesthesiology
2602 SAINT MICHAEL DR, SUITE 301
TEXARKANA, TX 75503

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 Dewitt Fortenberry's NPI number?

The NPI number for Dewitt Fortenberry is 1114960473. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Dewitt Fortenberry located?

Dewitt Fortenberry practices at 2602 Saint Michael Dr Suite 302, Texarkana, TX 75503. The listed phone number is (903) 336-2391.

What is Dewitt Fortenberry's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dewitt Fortenberry enrolled in Medicare?

Yes. Dewitt Fortenberry 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.

What insurance does Dewitt Fortenberry accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Dewitt Fortenberry 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.

Is Dewitt Fortenberry affiliated with any hospitals?

According to CMS data, Dewitt Fortenberry is affiliated with Willis Knighton Medical Center, Specialists Hospital Shreveport, Christus Mother Frances Hospital and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Dewitt Fortenberry was last updated on September 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.