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DR. ARNOLD GLEN FONTANILLA D.O.
NPI 1720191778
Family Medicine in Pennsauken, NJ

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
6981 NORTH PARK DRIVE, COOOPER RIVER WEST OFFICE BUILDING, PENNSAUKEN, NJ 08109(856) 663-4949(856) 663-6076 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2020, Aug 21, 2020, Dec 2, 2019 (3 updates tracked since 2019).

About Dr. Arnold Glen Fontanilla D.o. NPPES

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

DR. ARNOLD GLEN FONTANILLA D.O. (NPI 1720191778) is an individual family medicine provider in Pennsauken, New Jersey, licensed in New Jersey (25MB07716400) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Kansas City University Of Physicians And Surgeons (2001).

NPPES Registry Identity

NPI1720191778
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ARNOLD GLEN FONTANILLACredential: D.O.
Location Address6981 NORTH PARK DRIVE, COOOPER RIVER WEST OFFICE BUILDINGPennsauken, NJ 08109
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(856) 663-4949
Fax(856) 663-6076
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2001
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 16, 20203 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1720191778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NJ · 25MB07716400✔ Licensed in PA · OS012536
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6981 NORTH PARK DRIVE, Pennsauken, NJ 08109
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Other Identifiers 1

Medicaid1014376180001PA

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. Arnold Glen Fontanilla D.o. 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 ID9830154459
PECOS Enrollment IDI20160219000218
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.
299 services163 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.
107 services90 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08109 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
18 suppliers38 claims77 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers14 claims15 services$0.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Arnold Fontanilla's NPI number?

The NPI number for Arnold Fontanilla is 1720191778. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Arnold Fontanilla located?

Arnold Fontanilla practices at 6981 North Park Drive Coooper River West Office Building, Pennsauken, NJ 08109. The listed phone number is (856) 663-4949.

What is Arnold Fontanilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Arnold Fontanilla enrolled in Medicare?

Yes. Arnold Fontanilla 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 Arnold Fontanilla affiliated with any hospitals?

According to CMS data, Arnold Fontanilla is affiliated with Cooper University Hospital, West Jersey Hospital and Virtua Our Lady Of Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Arnold Fontanilla was last updated on October 16, 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.