GLEN FORTIER (MD) – Emergency Medicine Physician, NPI 1558474544

GLEN FORTIER (MD) is a healthcare provider. based in Fort myers, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. ME52203 (FL). The NPI Number for GLEN FORTIER (MD) is 1558474544

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
GLEN FORTIER (MD)
NPI
1558474544
Phone
(239) 343-3292
Address
2776 CLEVELAND AVE
Enumeration Date
16 August 2006
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394242000
Graduation Year
1983 (43 years ago)
PAC ID
5092812149
Group Practice PAC ID
1557465325
Professional Enrollment ID
I20070524000110

Contacts

Secure Messaging
gfortier379@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for GLEN FORTIER (MD)

  • Lee Memorial Hospital, 2776, Cleveland Avenue, Edison Park Historic District, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 33901

    Phone: (239) 343-3292

    Fax: (239) 343-3695

    Type: Location

  • Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States

    FORT MYERS, FL 339022147

    Phone: (239) 343-3292

    Fax: (239) 343-3695

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-05-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070524000110IEmergency 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
99285Emergency department visit with high level of medical decision making184175$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only131125$0
99284Emergency department visit with moderate level of medical decision making109106$0
99283Emergency department visit with low level of medical decision making2525$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Provider's Procedures

GLEN FORTIER (MD) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report264245

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: 1557465325View full group profile

Reviews

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Frequently asked questions

What NPI should I save for GLEN FORTIER (MD)?
Save NPI 1558474544 if you need a stable reference for GLEN FORTIER (MD).
Is GLEN FORTIER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GLEN FORTIER (MD)?
The page reflects Emergency Medicine Physician for GLEN FORTIER (MD). Clinical services aligned with this taxonomy classification.
Does GLEN FORTIER (MD) practice in Florida?
You will see Fort Myers, Florida on file for GLEN FORTIER (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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