OLGA M. FORTENKO (M.D.) – Pulmonary Disease Physician, NPI 1154596336
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
72 PULMONARY DISEASE in ID
Provider Addresses for OLGA M. FORTENKO (M.D.)
2347 E GALA ST
MERIDIAN, ID 836424881
Phone: (208) 323-3767
Fax: (208) 323-3768
Type: Location
2950 Whipple Ave Ste 4
Redwood City, CA 940622842
Phone: (650) 216-9000
Fax: (650) 365-1157
Type: Location
Whipple Avenue, Redwood City, San Mateo County, California, 94063, United States
REDWOOD CITY, CA 940622842
Phone: (650) 216-9000
Fax: (650) 365-1157
Type: Mailing
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-8752
Fax: (650) 365-1157
Type: Mailing
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 $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($30).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $30 |
| AstraZeneca Pharmaceuticals LP | $17 |
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: 2024-05-31
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 |
|---|---|---|---|---|
| I20141227000028 | I | Pulmonary Disease | CA | TBD |
| I20240531003625 | I | Pulmonary Disease | ID | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 120 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 86 | 58 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 69 | 43 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 62 | 55 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 30 | 26 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
Reviews
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