DR. ARNOLD DOUGLAS FONG (M.D.) – Family Medicine Physician, NPI 1770571283

DR. ARNOLD DOUGLAS FONG (M.D.) is a healthcare provider. based in Ponte vedra, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME0065011 (FL). The NPI Number for DR. ARNOLD DOUGLAS FONG (M.D.) is 1770571283

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARNOLD DOUGLAS FONG (M.D.)
NPI
1770571283
Phone
(904) 280-8228
Address
PO BOX 3224
Enumeration Date
10 October 2005
Last Update Date
24 April 2012

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9047310304
Graduation Year
1992 (34 years ago)
PAC ID
4587737499
Group Practice PAC ID
9133025869
Professional Enrollment ID
I20080724000565
Address ID
FL322174613JA3872XDRXX500
Telehealth
Yes
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

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. ARNOLD DOUGLAS FONG (M.D.)

  • Pontevedra, Galicia, Spain

    PONTE VEDRA, FL 320043224

    Phone: (904) 280-8228

    Fax: (904) 280-8208

    Type: Mailing

  • South Ponte Vedra Boulevard, South Ponte Vedra Beach, Saint Johns County, Florida, 32082, United States

    SUITE 106

    PONTE VEDRA, FL 320824098

    Phone: (904) 280-8228

    Fax: (904) 280-8208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Optinose US, Inc. ($129).

Total Amount

$216

General + Research + Ownership

Payments

2

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

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: 2008-07-24

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
I20080724000565IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes584286$0
99497Advance care planning, first 30 minutes341338$0
36415Insertion of needle into vein for collection of blood sample291210$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit283283$0
G0008Administration of influenza virus vaccine144140$0
View full utilization report →

Insurance plans in this area (ZIP 32004)

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Provider's Procedures

DR. ARNOLD DOUGLAS FONG (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL85610Blood test, clotting time6611
FAMILY MEDICINEFL90670Pneumococcal vaccine for injection into muscle108108

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: 9133025869View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Interventional RadiologyFL
-MN
Physician AssistantFL
Internal MedicineFL
-FL
Clinical PsychologistFL
Vascular SurgeryCO
U R O L O G YFL
-FL

Reviews

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Frequently asked questions

What federal number belongs to DR. ARNOLD DOUGLAS FONG (M.D.)?
The federal identifier for DR. ARNOLD DOUGLAS FONG (M.D.) is NPI 1770571283.
Is DR. ARNOLD DOUGLAS FONG (M.D.) currently active in the NPI registry?
CMS-published data lists DR. ARNOLD DOUGLAS FONG (M.D.) as an active registrant.
What kind of provider is DR. ARNOLD DOUGLAS FONG (M.D.)?
The page reflects Family Medicine Physician for DR. ARNOLD DOUGLAS FONG (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ARNOLD DOUGLAS FONG (M.D.)?
We surface Ponte Vedra, Florida for DR. ARNOLD DOUGLAS FONG (M.D.) based on available NPPES addresses.
How can I contact DR. ARNOLD DOUGLAS FONG (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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