DR. JOSE ALBERT ANG FONTANILLA JR. MD
NPI 1497712640
Internal Medicine - Geriatric Medicine in Springdale, AR

Q: What is Jose Fontanilla's NPI number?

The NPI number for Jose Fontanilla is 1497712640. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Jose Fontanilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Jose Fontanilla was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 28, 2006PECOS Enrolled

40.87/100

CMS Quality Rating

4077 ELM SPRINGS RD STE 105, SPRINGDALE, AR 72762(479) 927-2100(479) 927-2211 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jose Albert Ang Fontanilla Jr. Md NPPES

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

DR. JOSE ALBERT ANG FONTANILLA JR. MD (NPI 1497712640) is an individual geriatric medicine provider in Springdale, Arkansas, licensed in Arkansas (E3107) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497712640

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. JOSE ALBERT ANG FONTANILLA JR.Credential: MD

Location Address4077 ELM SPRINGS RD STE 105Springdale, AR 72762-3703

Mailing Address2422 N Thompson Suite ASpringdale, AR 72764 · (479) 750-6566 · Fax (479) 750-5251

Phone(479) 927-2100

Fax(479) 927-2211

Sole ProprietorNo

Enumeration DateApril 28, 2006

Last NPPES UpdateSeptember 9, 2020

NPPES CertifiedSeptember 9, 2020

✔ NPI 1497712640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in AR · E3107

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

4077 ELM SPRINGS RD STE 105, Springdale, AR 72762

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Other Identifiers 1

Medicaid146213001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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. Jose Albert Ang Fontanilla Jr. Md 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 72762 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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.

40.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

19.7

Improvement Activities

Cost

75.13

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%68 patients5/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

80%261 patients4/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

16%92 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%342 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers13 claims45 services$6.55 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers31 claims31 services$34.83 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers41 claims236 services$18.97 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers53 claims53 services$54.75 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers25 claims25 services$17.55 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers15 claims15 services$14.85 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers49 claims294 services$2.22 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers17 claims17 services$12.59 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers26 claims26 services$17.29 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$895.62 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers25 claims30 services$34.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers71 claims71 services$88.23 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims32 services$33.01 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,560 services$0.31 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,560 services$0.88 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers19 claims19 services$21.59 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers21 claims21 services$32.65 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$18.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier14 claims14 services$11.72 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers14 claims14 services$24.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

JAMES ROBERT FEHER MSN, APRN, FNP-C

Nurse Practitioner (Family)

4077 ELM SPRINGS RD STE 105
SPRINGDALE, AR 72762

Washington County (479) 927-2100

NORTHWEST PHYSICIANS LLC

Obstetrics & Gynecology (Obstetrics)

4077 ELM SPRINGS RD STE 105
SPRINGDALE, AR 72762

Washington County (479) 757-5301

LYDIA GRACE FIELDS APRN,FNP-C

Nurse Practitioner (Family)

4077 ELM SPRINGS RD STE 105
SPRINGDALE, AR 72762

Washington County (479) 927-2100

CARLOS VELA SANDOVAL MD

Internal Medicine

4077 ELM SPRINGS RD STE 105
SPRINGDALE, AR 72762

Washington County (479) 927-2100

COURTNEY MILLER DO

Family Medicine

4077 ELM SPRINGS RD STE 105
SPRINGDALE, AR 72762

Washington County (479) 927-2100

DR. MICHELLE CHUA ANG POLAND M.D.

Family Medicine

4077 ELM SPRINGS RD STE 105
SPRINGDALE, AR 72762

Washington County (479) 927-2000

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 Jose Fontanilla's NPI number?

The NPI number for Jose Fontanilla is 1497712640. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Jose Fontanilla located?

Jose Fontanilla practices at 4077 Elm Springs Rd Ste 105, Springdale, AR 72762. The listed phone number is (479) 927-2100.

What is Jose Fontanilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Jose Fontanilla enrolled in Medicare?

Yes. Jose Fontanilla is registered in the Medicare PECOS enrollment system.

What insurance does Jose Fontanilla accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Jose Fontanilla 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 Jose Fontanilla was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.