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LUKE BURKETT FONDREN DO
NPI 1255837886
Student in an Organized Health Care Education/Training Program in Foley, AL

Active since April 03, 2018PECOS Enrolled
71.08/100
CMS Quality Rating
1613 N MCKENZIE ST, FOLEY, AL 36535(251) 949-3400 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2020, Dec 12, 2019 (2 updates tracked since 2019).

About Luke Burkett Fondren Do NPPES

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

LUKE BURKETT FONDREN DO (NPI 1255837886) is an individual student in an organized health care education/training program in Foley, Alabama and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255837886
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE BURKETT FONDRENCredential: DO
Location Address1613 N MCKENZIE STFoley, AL 36535-2247
Mailing Address7856 Westside Park Dr Ste HMobile, AL 36695-8539 · (251) 450-8151
Phone(251) 949-3400
Sole ProprietorNo
Enumeration DateApril 3, 2018
Last NPPES UpdateApril 2, 20202 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
✔ NPI 1255837886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License DO.2036 (AL)
1613 N MCKENZIE ST, Foley, AL 36535
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Burkett Fondren Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Luke Fondren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eastern Shore Urgent Care LLC
19 mi
Family Medicine
29710 URGENT CARE DRIVE
Daphne, AL 36526
  • Reassigned Medicare billing, Alabama enrollment
  • 18 clinicians in this Medicare group
NPI 1376706275 (251) 626-3782
Bhg Lxxii, LLC
32 mi
Mental Health (Including Community Mental Health Center)
808 DOWNTOWNER LOOP W
Mobile, AL 36609
  • Reassigned Medicare billing, Alabama enrollment
  • 15 clinicians in this Medicare group
NPI 1699440149 (251) 341-9504

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

71.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.33
Promoting Interoperability90
Improvement Activities40
Cost57.6

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.

DR. JOHN J CAMPBELL M.D.
Radiology (Diagnostic Radiology)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MRS. SHARON ELAINE CHRISTOPHER CRNA
Nurse Anesthetist, Certified Registered
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 971-1028
GRACE ANN RILEY DOUCET
Student in an Organized Health Care Education/Training Program
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
M AND M ANESTHESIOLOGY PA
Anesthesiology
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
IES ALABAMA PLLC
Emergency Medicine
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3540
FOLEY HOSPITAL COMPANY LLC
General Acute Care Hospital
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.
Specialist
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MARK T. KNOWER M.D.
Internal Medicine (Pulmonary Disease)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3710

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 Luke Fondren's NPI number?

The NPI number for Luke Fondren is 1255837886. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Luke Fondren located?

Luke Fondren practices at 1613 N Mckenzie St, Foley, AL 36535. The listed phone number is (251) 949-3400.

What is Luke Fondren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luke Fondren enrolled in Medicare?

Yes. Luke Fondren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luke Fondren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Fondren reassigns Medicare benefits to 2 organizations: Eastern Shore Urgent Care LLC (Daphne, AL) and Bhg Lxxii, LLC (Mobile, AL). 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 Luke Fondren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Fondren accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Oscar Insurance Company list Luke Fondren 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.

When was this NPI record last updated?

The NPPES record for Luke Fondren was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.