DR. PETE PITAYA FONG MD
NPI 1912060906
Internal Medicine - Interventional Cardiology in Nashville, TN

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2025, Oct 15, 2020 (2 updates tracked since 2020).

About Dr. Pete Pitaya Fong Md NPPES

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

DR. PETE PITAYA FONG MD (NPI 1912060906) is an individual interventional cardiology provider in Nashville, Tennessee, licensed in Tennessee (37745) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Vanderbilt University School Of Medicine (1998).

NPPES Registry Identity

NPI1912060906
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PETE PITAYA FONGCredential: MD
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-5100
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · Fax (615) 322-5048
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1998
Enumeration DateDecember 19, 2006
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1912060906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TN · 37745
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 37745 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Other Identifiers 1

Medicaid1512233TN

Accepted 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. Pete Pitaya Fong 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 ID2163464926
PECOS Enrollment IDI20070310000086
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 22

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.
631 services321 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
177 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services51 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
86 services86 patients
Insertion of tube in coronary artery for diagnosis with review by radiologist 93454
This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
61 services61 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
53 services53 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$96.47 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$33.08 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.

Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

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 Pete Fong's NPI number?

The NPI number for Pete Fong is 1912060906. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Pete Fong located?

Pete Fong practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Pete Fong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Pete Fong enrolled in Medicare?

Yes. Pete Fong 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 Pete Fong accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Pete Fong 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 Pete Fong affiliated with any hospitals?

According to CMS data, Pete Fong is affiliated with Jackson-Madison County General Hospital, Vanderbilt University Medical Center, Vanderbilt Bedford Hospital and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Pete Fong was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.