BERTRAND BEZANCHONG TEH FONJI (M.D.) – Surgery Physician, NPI 1073764403
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for BERTRAND BEZANCHONG TEH FONJI (M.D.)
521 W STATE ROAD 434
SUITE 301
LONGWOOD, FL 327504984
Phone: (407) 767-5808
Fax: (407) 767-5892
Type: Location
United Drive, Brumley, Conway, Faulkner County, Arkansas, 72033, United States
CONWAY, AR 720327004
Phone: (501) 329-1415
Fax: (501) 329-2589
Type: Mailing
650 UNITED DR STE 240
CONWAY, AR 720327004
Phone: (501) 329-1415
Fax: (501) 329-2589
Type: Location
11001 EXECUTIVE CENTER DR
LITTLE ROCK, AR 722114316
Phone: (501) 329-1415
Fax: (501) 329-2589
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: 2019-02-12
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 |
|---|---|---|---|---|
| I20161227001672 | I | General Surgery | IA | TBD |
| I20190212000913 | I | General Surgery | AR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 79 | 79 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 28 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 25 | 25 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 18 | 18 | $0 |
Insurance plans in this area (ZIP 32750)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| - | AR | |
| Diagnostic Radiology, Interventional Radiology | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR |
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