DOUGLAS K. FENTON (M.D.) – Obstetrics & Gynecology Physician, NPI 1063402709
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for DOUGLAS K. FENTON (M.D.)
4318 Mission Ave
Oceanside, CA 920576541
Phone: (858) 554-7439
Type: Location
10790, Rancho Bernardo Road, San Diego County, California, 92127, United States
SAN DIEGO, CA 921275705
Phone: (760) 901-5155
Type: Mailing
332, Santa Fe Drive, Encinitas, San Diego County, California, 92007, United States
ENCINITAS, CA 920245143
Phone: (760) 901-5155
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $302.
Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($129).
Total Amount
$302
General + Research + Ownership
Payments
13
Total payment records
General Amount
$302
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $129 |
| Bausch Health US, LLC | $47 |
| CooperSurgical, Inc. | $36 |
| Exeltis, USA Inc. | $18 |
| Astellas Pharma US Inc | $18 |
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: 2011-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20110124000755 | I | Obstetrics/Gynecology | CA | 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 |
|---|---|---|---|---|
| 76856 | Complete ultrasound scan of pelvis | 135 | 126 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 130 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
Insurance plans in this area (ZIP 92057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| - | CA |
Reviews
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