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ALLEN R. FENDERSON M.D.
NPI 1205832979
Family Medicine in Virginia Beach, VA

Active since June 27, 2005PECOS Enrolled
351 EDWIN DR, STE 102, VIRGINIA BEACH, VA 23462(757) 499-5550 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, Dec 9, 2019 (2 updates tracked since 2019).

About Allen R. Fenderson M.d. NPPES

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

ALLEN R. FENDERSON M.D. (NPI 1205832979) is an individual family medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101027355) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205832979
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALLEN R. FENDERSONCredential: M.D.
Location Address351 EDWIN DR, STE 102Virginia Beach, VA 23462-4559
Mailing Address860 Omni Blvd Ste 101Newport News, VA 23606-4430 · (757) 232-8769 · Fax (757) 232-8875
Phone(757) 499-5550
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1205832979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101027355
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

351 EDWIN DR, Virginia Beach, VA 23462
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Other Identifiers 3

Other462019VA · Anthem
Medicaid010014832VA
OtherP00137845VA · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen R. Fenderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$57.91 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 5

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

LOUIS J MARCONYAK DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
351 EDWIN DR, SUITE 104
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-3530
MARK R WINTERS MD
Family Medicine
351 EDWIN DR, SUITE 102
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-5550
DR. NICHOLAS MADDUX D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
351 EDWIN DR, SUITE 104
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-3530
DR. PAUL M. BRICKMAN LTD.
Dentist (General Practice)
351 EDWIN DR, SUITE 103
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-9839
KAREN PATTERSON PA-C
Physician Assistant (Medical)
351 EDWIN DR, SUITE 102
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-5550

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 Allen Fenderson's NPI number?

The NPI number for Allen Fenderson is 1205832979. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Allen Fenderson located?

Allen Fenderson practices at 351 Edwin Dr Ste 102, Virginia Beach, VA 23462. The listed phone number is (757) 499-5550.

What is Allen Fenderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Allen Fenderson enrolled in Medicare?

Yes. Allen Fenderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allen Fenderson was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.