EDWIN J FORTENBERY (MD) – Nuclear Radiology Physician, NPI 1073596789
Nuclear Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
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Provider Addresses for EDWIN J FORTENBERY (MD)
Albany Post Office, 2nd Avenue Southwest, Albany, Linn County, Oregon, 97321, United States
ALBANY, GA 317021828
Phone: (706) 653-1088
Fax: (706) 653-1162
Type: Mailing
Phoebe Putney Memorial Hospital, 417, West 3rd Avenue, Albany, Dougherty County, Georgia, 31701, United States
ALBANY, GA 317011943
Phone: (706) 653-1088
Fax: (706) 653-1162
Type: Location
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: 2022-05-02
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 |
|---|---|---|---|---|
| I20040301000444 | I | Diagnostic Radiology | GA | TBD |
| I20220502001812 | I | Diagnostic Radiology | AL | 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 |
|---|---|---|---|---|
| 71250 | Ct scan of chest without contrast | 92 | 89 | $0 |
| 71045 | X-ray of chest, 1 view | 80 | 70 | $0 |
| 71260 | Ct scan of chest with contrast | 33 | 32 | $0 |
| 71046 | X-ray of chest, 2 views | 19 | 19 | $0 |
Insurance plans in this area (ZIP 31702)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Internal Medicine, Critical Care (Intensivists), Infectious Disease | IN | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Pulmonary Disease, Internal Medicine | FL |
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