GLEN FORTIER MD
NPI 1558474544
Emergency Medicine in Fort Myers, FL

Active since August 16, 2006PECOS Enrolled
2776 CLEVELAND AVE, FORT MYERS, FL 33901(239) 343-3292(239) 343-3695 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2021, Sep 2, 2020, Aug 2, 2018 and 1 more (4 updates tracked since 2017).

About Glen Fortier Md NPPES

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

GLEN FORTIER MD (NPI 1558474544) is an individual emergency medicine provider in Fort Myers, Florida, licensed in Florida (ME52203) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558474544
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGLEN FORTIERCredential: MD
Location Address2776 CLEVELAND AVEFort Myers, FL 33901
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3292 · Fax (239) 343-3695
Fax(239) 343-3695
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 17, 20244 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1558474544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME52203
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2776 CLEVELAND AVE, Fort Myers, FL 33901

Other Identifiers 1

Medicaid064131600FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen Fortier 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.

Medicare Billing Reassignments

2

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

Emergency Medicine
2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
Emergency Medicine
636 DEL PRADO BLVD S
Cape Coral, FL 33990
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
74 services71 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
60 services59 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

Anesthesiologist Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Pharmacist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Physician Assistant (Medical)
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901

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 Glen Fortier's NPI number?

The NPI number for Glen Fortier is 1558474544. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Glen Fortier located?

Glen Fortier practices at 2776 Cleveland Ave, Fort Myers, FL 33901. The listed phone number is (239) 343-3292.

What is Glen Fortier's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Glen Fortier enrolled in Medicare?

Yes. Glen Fortier is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Glen Fortier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Fortier reassigns Medicare benefits to 2 organizations: Lee Memorial Health System (Fort Myers, FL) and Cape Coral Emergency Physicians LLC (Cape Coral, FL). 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 Glen Fortier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glen Fortier was last updated on October 17, 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.