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DR. MARK AMBROSE FONTANA MD
NPI 1598769960
Surgery in Norfolk, VA

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
6251 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 23502(757) 261-5000(757) 962-5610 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Ambrose Fontana Md NPPES

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

DR. MARK AMBROSE FONTANA MD (NPI 1598769960) is an individual surgery provider in Norfolk, Virginia, licensed in Virginia (0101049884) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1598769960
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARK AMBROSE FONTANACredential: MD
Location Address6251 E VIRGINIA BEACH BLVD STE 300Norfolk, VA 23502-2824
Mailing Address6251 E Virginia Beach Blvd Ste 300Norfolk, VA 23502-2824 · (757) 261-5000 · Fax (757) 962-5610
Phone(757) 261-5000
Fax(757) 962-5610
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1992
Enumeration DateJune 13, 2005
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1598769960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in VA · 0101049884✔ Licensed in NC · 2016-00298
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License 0101049884 (VA)
6251 E VIRGINIA BEACH BLVD STE 300, Norfolk, VA 23502
Open in Google Maps ↗

Secondary Practice Location 1

Location 16160 Kempsville Cir, Ste 101BNorfolk, VA 23502-3933 · Phone (757) 461-2515 · Fax (757) 466-1104

Other Identifiers 1

Medicaid010142164VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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. Mark Ambrose Fontana 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 ID3173576998
PECOS Enrollment IDI20050222000108, I20160429001815
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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services34 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
22 services22 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.
22 services22 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.
22 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

CECILLE MORIDO QUINN NP-C
Nurse Practitioner (Family)
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
JENNIFER MASDEN REED M.D.
Surgery
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
JORDANA WEISS LCGC
Genetic Counselor, MS
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
DR. JOHN MINOTT SAYLES MD
Surgery
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
DR. REBECCA BREESE MARTIN MD
Surgery
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
BETHANY BRAGDON TAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
DR. JARED LAWRENCE BROOKS M.D.
Surgery
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000
CHRISTOPHER RAPHAEL RETTENMAIER MD
Surgery
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK, VA 23502
Norfolk City (757) 261-5000

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 Mark Fontana's NPI number?

The NPI number for Mark Fontana is 1598769960. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Mark Fontana located?

Mark Fontana practices at 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502. The listed phone number is (757) 261-5000.

What is Mark Fontana's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Fontana enrolled in Medicare?

Yes. Mark Fontana 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.

What insurance does Mark Fontana accept?

Health plans from Blue Cross and Blue Shield of NC list Mark Fontana 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.

Is Mark Fontana affiliated with any hospitals?

According to CMS data, Mark Fontana is affiliated with Sentara Albemarle Medical Center, Sentara Leigh Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Mark Fontana was last updated on April 23, 2021. 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.