MICHAEL EDWIN FENTON (MD) – Diagnostic Radiology Physician, NPI 1033183264
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL EDWIN FENTON (MD)
5251 TITLE ROW DR
BRADENTON, FL 342104058
Phone:
Type: Mailing
643 CHALAN SAN ANTONIO STE 109
TAMUNING, GU 969133644
Phone: (671) 648-6390
Type: Location
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 237082111
Phone: (757) 953-5000
Type: Location
8978, River Crescent, Cedar Point, Crittenden, Suffolk, Virginia, 23433, United States
SUFFOLK, VA 234331110
Phone: (757) 238-8485
Type: Mailing
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: 2024-05-29
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 |
|---|---|---|---|---|
| I20141212000276 | I | Diagnostic Radiology | GU | TBD |
| I20240529000048 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,900 | 26 | $0 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 2,000 | 20 | $0 |
| 71046 | X-ray of chest, 2 views | 187 | 182 | $0 |
| 77067 | Screening mammography | 104 | 104 | $0 |
| 73564 | X-ray of knee, 4 or more views | 82 | 55 | $0 |
Insurance plans in this area (ZIP 34210)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | VA | 71010 | X-ray of chest, 1 view, front | 61 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| - | NC | |
| - | NC | |
| Diagnostic Radiology | NC | |
| - | NC |
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