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DR. ARLENE J FONTANARES MD
NPI 1811996879
Obstetrics & Gynecology in Norfolk, VA

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
83.77/100
CMS Quality Rating
844 KEMPSVILLE RD, SUITE 208, NORFOLK, VA 23502(757) 461-3890(757) 461-0836 Get Directions Write a Review

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

About Dr. Arlene J Fontanares Md NPPES

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

DR. ARLENE J FONTANARES MD (NPI 1811996879) is an individual obstetrics & gynecology provider in Norfolk, Virginia, licensed in Virginia (0101050874) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Eastern Virginia Medical School (1990).

NPPES Registry Identity

NPI1811996879
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ARLENE J FONTANARESCredential: MD
Location Address844 KEMPSVILLE RD, SUITE 208Norfolk, VA 23502-3927
Mailing Address844 Kempsville Rd, Suite 208Norfolk, VA 23502-3927 · (757) 461-3890 · Fax (757) 461-0836
Phone(757) 461-3890
Fax(757) 461-0836
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1990
Enumeration DateJuly 20, 2005
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1811996879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101050874
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
844 KEMPSVILLE RD, Norfolk, VA 23502
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Other Identifiers 2

Medicare UPINF78258
Medicare PIN160001337VA

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. Arlene J Fontanares 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 ID4880883339
PECOS Enrollment IDI20110113001043
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 8

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
103 services103 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
98 services98 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.
80 services59 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
69 services69 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.
45 services40 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services32 patients

Hospital Affiliations CMS Care Compare 3

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

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
$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.

83.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.44
Promoting Interoperability100
Improvement Activities40
Cost60.47

Reported Quality Measures

Breast Cancer Screening
91%583 patients4/55-star benchmark: 93%
Cervical Cancer Screening
99%1,169 patients5/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
22%227 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
96%754 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
92%2,034 patients4/55-star benchmark: 100%
e-Prescribing
98%399 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,344 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%1,900 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,472 patients
Patients screened: 98% · 1,472 patients
31%62 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%596 patients4/55-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.

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.

JESSICA ANN DUELL AGACNP-BC
Nurse Practitioner (Acute Care)
844 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 261-0700
NEGAR NIKKI SADR M.D.
Obstetrics & Gynecology
844 KEMPSVILLE RD, SUITE 208
NORFOLK, VA 23502
Norfolk City (757) 461-3890
DR. FRANKLIN C MORGAN M.D.
Obstetrics & Gynecology
844 KEMPSVILLE RD, STE 208
NORFOLK, VA 23502
Norfolk City (757) 461-3890
DR. JAIME EDWARDO MURILLO MD
Internal Medicine (Cardiovascular Disease)
844 KEMPSVILLE RD, SUITE 204
NORFOLK, VA 23502
Norfolk City (757) 261-0700
MS. LEANNE C GORDON NP
Nurse Practitioner (Family)
844 KEMPSVILLE RD, SUITE 204
NORFOLK, VA 23502
Norfolk City (757) 261-0700
DR. CHARLES A WILKES MD
Obstetrics & Gynecology
844 KEMPSVILLE RD, STE 208
NORFOLK, VA 23502
Norfolk City (757) 461-3890
SENTARA MEDICAL GROUP
Orthopaedic Surgery (Hand Surgery)
844 KEMPSVILLE RD, STE 104
NORFOLK, VA 23502
Norfolk City (757) 252-5600
MEGHAN CAROLINE LEIGHTNER
Physician Assistant (Medical)
844 KEMPSVILLE RD, SUITE 204
NORFOLK, VA 23502
Norfolk City (757) 261-0700

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 Arlene Fontanares's NPI number?

The NPI number for Arlene Fontanares is 1811996879. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Arlene Fontanares located?

Arlene Fontanares practices at 844 Kempsville Rd Suite 208, Norfolk, VA 23502. The listed phone number is (757) 461-3890.

What is Arlene Fontanares's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Arlene Fontanares enrolled in Medicare?

Yes. Arlene Fontanares 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 Arlene Fontanares affiliated with any hospitals?

According to CMS data, Arlene Fontanares is affiliated with Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Arlene Fontanares was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.