MR. JEAN GUY FORTIN (MD) – Ophthalmology Physician, NPI 1205945276
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
250 OPHTHALMOLOGY in AL
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Provider Addresses for MR. JEAN GUY FORTIN (MD)
2800, Ross Clark Circle, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 36301
Phone: (334) 793-2211
Fax: (334) 793-7161
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $536.
Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Genentech USA, Inc. ($177).
Total Amount
$536
General + Research + Ownership
Payments
26
Total payment records
General Amount
$536
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505001480 | I | Ophthalmology | FL | TBD |
| I20090327000495 | I | Ophthalmology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 12,780 | 43 | $0 |
| 92134 | Imaging of retina | 1,405 | 553 | $0 |
| 92014 | Established patient complete exam of visual system | 912 | 572 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 801 | 295 | $0 |
| 67028 | Injection of drug into eye | 542 | 164 | $0 |
Insurance plans in this area (ZIP 36301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | AL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 55 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL | |
| O P H T H A L M O L O G Y | KY | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL |
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