DR. CORY FORTSON
NPI 1306258280
Dentist - Oral and Maxillofacial Surgery in Southfield, MI

Active since May 27, 2014PECOS Enrolled
17600 W 12 MILE RD STE 3, SOUTHFIELD, MI 48076(248) 569-6722(248) 569-7409 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cory Fortson NPPES

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

DR. CORY FORTSON (NPI 1306258280) is an individual oral and maxillofacial surgery provider in Southfield, Michigan, licensed in Michigan (2901021215) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306258280
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CORY FORTSON
Location Address17600 W 12 MILE RD STE 3Southfield, MI 48076-1910
Mailing Address17600 W 12 Mile Rd Ste 3Southfield, MI 48076-1910 · (248) 569-6722 · Fax (248) 569-7409
Fax(248) 569-7409
Sole ProprietorYes
Enumeration DateMay 27, 2014
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
NPI 1306258280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 2901021215
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.
Also ListedDentistTaxonomy 122300000X · License 2901021215 (MI)
17600 W 12 MILE RD STE 3, Southfield, MI 48076

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 (PECOS)

Dr. Cory Fortson 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.

Areas of Expertise CMS Part B claims 15

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.

Impression and custom preparation of oral surgical splint 21085
An oral surgical splint is a device designed to protect your mouth, align your jaw, or aid in healing after surgery. The process involves taking an impression of your teeth to create a splint that fits perfectly. This custom-made device ensures comfort and effectiveness.
43 services27 patients
X-ray of lower jaw, minimum of 4 views 70110
An X-ray of the lower jaw, with a minimum of 4 views, is a non-invasive imaging procedure. It helps to view the structure of your jawbone and teeth from various angles. This aids in diagnosing conditions like fractures, infections, or abnormalities effectively.
40 services26 patients
X-ray of face bones, minimum of 3 views 70150
An X-ray of face bones, minimum of 3 views, is a diagnostic procedure where images of your facial bones are taken from at least three different angles. This helps in detecting fractures, infections, or other abnormalities in the facial region. It's a quick, painless process.
40 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet 15574
A flap graft is a surgical procedure where skin and tissue are moved from one area of the body to another. This is often done to repair areas affected by injury, disease, or surgery. The procedure helps restore function and appearance to the targeted region.
34 services24 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 Cory Fortson's NPI number?

The NPI number for Cory Fortson is 1306258280. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Cory Fortson located?

Cory Fortson practices at 17600 W 12 Mile Rd Ste 3, Southfield, MI 48076. The listed phone number is (248) 569-6722.

What is Cory Fortson's specialty?

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

Is Cory Fortson enrolled in Medicare?

Yes. Cory Fortson is registered in the Medicare PECOS enrollment system.

What insurance does Cory Fortson accept?

Health plans from Delta Dental of Michigan list Cory Fortson 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 Cory Fortson was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.