DR. JOHN ERIC FORTENBERRY (M.D.) – Emergency Medicine Physician, NPI 1083693345

DR. JOHN ERIC FORTENBERRY (M.D.) is a healthcare provider. based in Bakersfield, California. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. G72510 (CA). The NPI Number for DR. JOHN ERIC FORTENBERRY (M.D.) is 1083693345

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ERIC FORTENBERRY (M.D.)
NPI
1083693345
Phone
(661) 588-0758
Address
15708 TRADITION CT
Enumeration Date
13 January 2006
Last Update Date
7 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
4694012386
Graduation Year
1990 (36 years ago)
PAC ID
1850374919
Group Practice PAC ID
0345523643
Professional Enrollment ID
I20130516000527
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN ERIC FORTENBERRY (M.D.)

  • 15708 TRADITION CT

    BAKERSFIELD, CA 933147871

    Phone: (661) 588-0758

    Fax: (661) 588-0758

    Type: Mailing

  • Mercy Hospital Southwest, 400, Old River Road, Bakersfield, Kern County, California, 93311, United States

    BAKERSFIELD, CA 933119781

    Phone: (661) 326-8021

    Fax: (661) 326-8022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-05-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130516000527IEmergency MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making9895$0
99285Emergency department visit with high level of medical decision making9188$0
99283Emergency department visit with low level of medical decision making2020$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1413$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 93314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345523643View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN ERIC FORTENBERRY (M.D.)?
The federal identifier for DR. JOHN ERIC FORTENBERRY (M.D.) is NPI 1083693345.
Is DR. JOHN ERIC FORTENBERRY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JOHN ERIC FORTENBERRY (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JOHN ERIC FORTENBERRY (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN ERIC FORTENBERRY (M.D.) practice in California?
You will see Bakersfield, California on file for DR. JOHN ERIC FORTENBERRY (M.D.) alongside any extra practice locations.
What if Bakersfield, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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