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DR. CORRINE ANN CLINE-FORTUNATO DDS
NPI 1225142649
Dentist - Oral and Maxillofacial Surgery in Scotts Valley, CA

Active since August 19, 2006PECOS Enrolled
223 MOUNT HERMON ROAD, SUITE B, SCOTTS VALLEY, CA 95066(831) 430-9910(831) 430-9914 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Corrine Ann Cline-fortunato Dds NPPES

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

DR. CORRINE ANN CLINE-FORTUNATO DDS (NPI 1225142649) is an individual oral and maxillofacial surgery provider in Scotts Valley, California, licensed in California (41379) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225142649
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CORRINE ANN CLINE-FORTUNATOCredential: DDS
Location Address223 MOUNT HERMON ROAD, SUITE BScotts Valley, CA 95066
Mailing Address223 Mount Hermon Road, Suite BScotts Valley, CA 95066 · (831) 430-9910 · Fax (831) 440-9914
Phone(831) 430-9910
Fax(831) 430-9914
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1225142649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 41379
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
223 MOUNT HERMON ROAD, Scotts Valley, CA 95066
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Other Identifiers 2

Other1098CA · Anesthesia License
Other1098CA · Ga Permit

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Corrine Ann Cline-fortunato Dds 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 95066 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
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.

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 Corrine Cline-fortunato's NPI number?

The NPI number for Corrine Cline-fortunato is 1225142649. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Corrine Cline-fortunato located?

Corrine Cline-fortunato practices at 223 Mount Hermon Road Suite B, Scotts Valley, CA 95066. The listed phone number is (831) 430-9910.

What is Corrine Cline-fortunato's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Corrine Cline-fortunato enrolled in Medicare?

Yes. Corrine Cline-fortunato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corrine Cline-fortunato was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.