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DR. COURTNEY B FAHNHORST VIDRINE M.D.
NPI 1245526466
Family Medicine in Saint Johns, FL

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
205 TRINITY WAY, SAINT JOHNS, FL 32259(904) 410-6040 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 2, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Courtney B Fahnhorst Vidrine M.d. NPPES

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

DR. COURTNEY B FAHNHORST VIDRINE M.D. (NPI 1245526466) is an individual family medicine provider in Saint Johns, Florida, licensed in Georgia (85566) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's St Johns County, and is a graduate of Saint Louis University School Of Medicine (2011).

NPPES Registry Identity

NPI1245526466
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. COURTNEY B FAHNHORST VIDRINECredential: M.D.
Location Address205 TRINITY WAYSaint Johns, FL 32259-1155
Mailing Address101 Marketside Ave Ste 404Ponte Vedra, FL 32081-1542 · (904) 410-6040 · Fax (904) 914-9293
Phone(904) 410-6040
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateOctober 13, 20254 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1245526466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 85566✔ Licensed in FL · ME118350
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.
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License ME118350 (FL)
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License ME118350 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License ME118350 (FL)
205 TRINITY WAY, Saint Johns, FL 32259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Courtney B Fahnhorst Vidrine 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 ID143449124
PECOS Enrollment IDI20140924001743
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 9

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
439 services152 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services71 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
81 services14 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
64 services46 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
59 services24 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.
56 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 7

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

CEP AMERICA LLC
Emergency Medicine
205 TRINITY WAY
SAINT JOHNS, FL 32259
St. Johns County (904) 450-8120
DRS. MCCLOW, CLARK & BERK PA
Radiology (Diagnostic Radiology)
205 TRINITY WAY
SAINT JOHNS, FL 32259
St. Johns County (904) 308-7300
NORTH FLORIDA ANESTHESIA CONSULTANTS INC
Anesthesiology
205 TRINITY WAY
ST JOHNS, FL 32259
St. Johns County (954) 939-5000
CEP AMERICA - NEUROLOGY PC
Psychiatry & Neurology (Neurology)
205 TRINITY WAY
SAINT JOHNS, FL 32259
St. Johns County (904) 450-8120
SEAN ALAN FRIEFELD DO
Emergency Medicine
205 TRINITY WAY
SAINT JOHNS, FL 32259
St. Johns County (904) 450-8120
ST VINCENTS HEALTH SYSTEM INC
General Acute Care Hospital
205 TRINITY WAY
ST. JOHNS, FL 32259
St. Johns County (904) 308-1255
ILEY MAE MENDEZ APRN, MSN
Nurse Practitioner (Acute Care)
205 TRINITY WAY
SAINT JOHNS, FL 32259
St. Johns County (904) 691-1000

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 Courtney Fahnhorst Vidrine's NPI number?

The NPI number for Courtney Fahnhorst Vidrine is 1245526466. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Courtney Fahnhorst Vidrine located?

Courtney Fahnhorst Vidrine practices at 205 Trinity Way, Saint Johns, FL 32259. The listed phone number is (904) 410-6040.

What is Courtney Fahnhorst Vidrine's specialty?

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

Is Courtney Fahnhorst Vidrine enrolled in Medicare?

Yes. Courtney Fahnhorst Vidrine 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 Courtney Fahnhorst Vidrine accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Courtney Fahnhorst Vidrine 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 Courtney Fahnhorst Vidrine affiliated with any hospitals?

According to CMS data, Courtney Fahnhorst Vidrine is affiliated with Ascension St Vincent's St Johns County and Memorial University Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Fahnhorst Vidrine was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.