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CARMEN ROXANA FUENTES MD
NPI 1639361033
Psychiatry & Neurology - Neurology in Norfolk, VA

Active since August 10, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6161 KEMPSVILLE CIR, SUITE 315, NORFOLK, VA 23502(757) 461-5400(757) 461-3305 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carmen Roxana Fuentes Md NPPES

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

CARMEN ROXANA FUENTES MD (NPI 1639361033) is an individual neurology provider in Norfolk, Virginia, licensed in Louisiana (MD.202662) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Ponce School Of Medicine (2005).

NPPES Registry Identity

NPI1639361033
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCARMEN ROXANA FUENTESCredential: MD
Location Address6161 KEMPSVILLE CIR, SUITE 315Norfolk, VA 23502-3932
Mailing Address6161 Kempsville Cir, Suite 315Norfolk, VA 23502-3932 · (757) 461-5400 · Fax (757) 461-3305
Phone(757) 461-5400
Fax(757) 461-3305
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2005
Enumeration DateAugust 10, 2007
Last NPPES UpdateSeptember 24, 2010
✔ NPI 1639361033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in LA · MD.202662✔ Licensed in VA · 0101248444
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.
6161 KEMPSVILLE CIR, Norfolk, VA 23502
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Other Identifiers 4

Medicaid1507555LA
Medicaid07480774MS
Medicare PIN4M261LA
Medicare PIN4M2617061LA

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

Carmen Roxana Fuentes 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 ID1759437833
PECOS Enrollment IDI20101101000041
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 11

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
10,900 services17 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.
410 services316 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
404 services273 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.
138 services119 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
86 services48 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
82 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City 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 Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
83%59 patients4/55-star benchmark: 95%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
96%383 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,605 patients5/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
88%536 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
88%606 patients4/55-star benchmark: 99%
Parkinson's Disease: Rehabilitative Therapy Options
Percentage of all patients with a diagnosis of Parkinson's Disease (or caregiver(s), as appropriate) who had rehabilitative therapy options (e.g., physical, occupational, or speech therapy) discussed in the past 12 months
22%344 patients1/55-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 2

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.54 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.38 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.

DR. ARMISTEAD D. WILLIAMS M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400
SENTARA MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Norfolk City (757) 466-3950
DR. MARK JOSEPH MCCARTHY M.D.
Specialist
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Norfolk City (757) 455-9603
DR. MARCUS C RICE M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400
LEAH BETH CARTER DPT
Physical Therapist
6161 KEMPSVILLE CIR, STE 250
NORFOLK, VA 23502
Norfolk City (757) 893-9210
NORFOLK PLASTIC SURGERY, PC
Surgery (Plastic and Reconstructive Surgery)
6161 KEMPSVILLE CIR, SUITE 300
NORFOLK, VA 23502
Norfolk City (757) 466-1000
COASTAL PEDIATRIC DENTAL & ANESTHESIA, PLLC
Dentist (Dentist Anesthesiologist)
6161 KEMPSVILLE CIR, SUITE 345
NORFOLK, VA 23502
Norfolk City (602) 799-1748
MR. JOHN KENNETH DUPEROCK MS PT
Physical Therapist
6161 KEMPSVILLE CIR
NORFOLK, VA 23502
Norfolk City (757) 893-9210

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 Carmen Fuentes's NPI number?

The NPI number for Carmen Fuentes is 1639361033. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Where is Carmen Fuentes located?

Carmen Fuentes practices at 6161 Kempsville Cir Suite 315, Norfolk, VA 23502. The listed phone number is (757) 461-5400.

What is Carmen Fuentes's specialty?

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

Is Carmen Fuentes enrolled in Medicare?

Yes. Carmen Fuentes 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 Carmen Fuentes affiliated with any hospitals?

According to CMS data, Carmen Fuentes is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Fuentes was last updated on September 24, 2010. 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.