DR. COURTNEY B FAHNHORST VIDRINE (M.D.) – Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, NPI 1245526466
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. COURTNEY B FAHNHORST VIDRINE (M.D.)
800 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 322078202
Phone: (904) 396-5682
Fax: (904) 346-0864
Type: Mailing
101 MARKETSIDE AVE STE 404
PONTE VEDRA, FL 320811542
Phone: (904) 410-6040
Fax: (904) 914-9293
Type: Mailing
205 TRINITY WAY
SAINT JOHNS, FL 322591155
Phone: (904) 410-6040
Type: Location
800 PRUDENTIAL DR
JACKSONVILLE, FL 322078202
Phone: (904) 396-5682
Fax: (904) 346-0684
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $412.
Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Kerecis Limited ($115).
Total Amount
$412
General + Research + Ownership
Payments
12
Total payment records
General Amount
$412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $115 |
| Smith+Nephew, Inc. | $110 |
| Organogenesis Inc. | $102 |
| Next Science LLC | $37 |
| Merck Sharp & Dohme LLC | $32 |
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: 2024-12-05
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 |
|---|---|---|---|---|
| I20140924001743 | I | Family Practice | FL | TBD |
| I20241205004268 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 392 | 121 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 169 | 25 | $0 |
| 99183 | Management of oxygen chamber therapy | 126 | 24 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 116 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 69 | $0 |
Insurance plans in this area (ZIP 32207)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.