NATHAN BENJAMIN FOUNTAIN
NPI 1629147244
Psychiatry & Neurology - Neurology in Charlottesville, VA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2706(434) 924-9068 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Nov 13, 2020, Feb 16, 2018 (3 updates tracked since 2018).

About Nathan Benjamin Fountain NPPES

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

NATHAN BENJAMIN FOUNTAIN (NPI 1629147244) is an individual neurology provider in Charlottesville, Virginia, licensed in Virginia (0101048670) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1629147244
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNATHAN BENJAMIN FOUNTAIN
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 924-9068
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1629147244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in VA · 0101048670
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1221 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

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

Nathan Benjamin Fountain 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 ID8426066572
PECOS Enrollment IDI20060330000563
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 5

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.

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.
69 services49 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
50 services25 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.
47 services41 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
33 services26 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.
21 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims

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

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$30.78 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 20

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

Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908

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 Nathan Fountain's NPI number?

The NPI number for Nathan Fountain is 1629147244. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Nathan Fountain located?

Nathan Fountain practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2706.

What is Nathan Fountain's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nathan Fountain enrolled in Medicare?

Yes. Nathan Fountain 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 Nathan Fountain affiliated with any hospitals?

According to CMS data, Nathan Fountain is affiliated with Wellmont Bristol Regional Medical Center, University Of Virginia Medical Center and Novant Prince William Medical Center.

When was this NPI record last updated?

The NPPES record for Nathan Fountain was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.