DR. FRAZIER T FORTENBERRY JR. MD
NPI 1376530816
Urology in Charlottesville, VA

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
6.53/100
CMS Quality Rating
630 PETER JEFFERSON PKWY, SUITE 135, CHARLOTTESVILLE, VA 22911(434) 244-5722(434) 244-5723 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Frazier T Fortenberry Jr. Md NPPES

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

DR. FRAZIER T FORTENBERRY JR. MD (NPI 1376530816) is an individual urology provider in Charlottesville, Virginia, licensed in Virginia (0101044989) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1985).

NPPES Registry Identity

NPI1376530816
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. FRAZIER T FORTENBERRY JR.Credential: MD
Location Address630 PETER JEFFERSON PKWY, SUITE 135Charlottesville, VA 22911-8605
Mailing Address630 Peter Jefferson Pkwy, Suite 135Charlottesville, VA 22911-8605 · (434) 244-5722 · Fax (434) 244-5723
Fax(434) 244-5723
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985
Enumeration DateSeptember 30, 2005
Last NPPES UpdateJuly 21, 2011
NPI 1376530816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in VA · 0101044989
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
630 PETER JEFFERSON PKWY, Charlottesville, VA 22911

Other Identifiers 9

Other461522VA · Anthem Services
Other23555VA · Cigna
Other204175VA · Southern Health
OtherP00003207VA · Medicare Pin
Other367104VA · Mamsi
Medicare UPINE41957
Other14120VA · Community Health
Medicare PIN00V276F52VA
Other340000300VA · Medicare

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. Frazier T Fortenberry Jr. Md 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 ID3375533227
PECOS Enrollment IDI20040513001106
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 19

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.

Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
845 services571 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
418 services329 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
381 services306 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.
265 services217 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
127 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

6.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost21.79

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier42 claims4,460 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers63 claims7,650 services$1.42 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers25 claims3,820 services$6.09 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 7

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

Urology
630 PETER JEFFERSON PKWY, SUITE 135
CHARLOTTESVILLE, VA 22911
Ophthalmology
630 PETER JEFFERSON PKWY, SUITE 140
CHARLOTTESVILLE, VA 22911
Clinic/Center
630 PETER JEFFERSON PKWY, STE. 180
CHARLOTTESVILLE, VA 22911
Optometrist
630 PETER JEFFERSON PKWY, SUITE 180
CHARLOTTESVILLE, VA 22911
Pain Medicine (Interventional Pain Medicine)
630 PETER JEFFERSON PKWY, SUITE 170
CHARLOTTESVILLE, VA 22911
Physical Medicine & Rehabilitation
630 PETER JEFFERSON PKWY
CHARLOTTESVILLE, VA 22911
Ophthalmology
630 PETER JEFFERSON PKWY, SUITE 140
CHARLOTTESVILLE, VA 22911

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 Frazier Fortenberry's NPI number?

The NPI number for Frazier Fortenberry is 1376530816. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Frazier Fortenberry located?

Frazier Fortenberry practices at 630 Peter Jefferson Pkwy Suite 135, Charlottesville, VA 22911. The listed phone number is (434) 244-5722.

What is Frazier Fortenberry's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Frazier Fortenberry enrolled in Medicare?

Yes. Frazier Fortenberry 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.

Is Frazier Fortenberry affiliated with any hospitals?

According to CMS data, Frazier Fortenberry is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Frazier Fortenberry was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.