DR. JUDY HELEN FONTANA (M.D.) – Dermatology Physician, NPI 1780848259

DR. JUDY HELEN FONTANA (M.D.) is a healthcare provider. based in Clinton township, Michigan. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301092497 (MI). The NPI Number for DR. JUDY HELEN FONTANA (M.D.) is 1780848259

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUDY HELEN FONTANA (M.D.)
NPI
1780848259
Phone
(586) 286-8720
Address
43151 DALCOMA DR
Enumeration Date
15 July 2008
Last Update Date
9 February 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5865801001
Graduation Year
2008 (18 years ago)
PAC ID
9133344971
Group Practice PAC ID
2466693387
Professional Enrollment ID
I20140710001377
Address ID
MI483153142SH50505RDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. JUDY HELEN FONTANA (M.D.)

  • 43151, Dalcoma Drive, Clinton Township, Macomb County, Michigan, 48038, United States

    SUITE 5

    CLINTON TOWNSHIP, MI 480386306

    Phone: (586) 286-8720

    Fax: (586) 649-6699

    Type: Mailing

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SUITE 325

    SHELBY TOWNSHIP, MI 483153140

    Phone: (586) 580-1001

    Fax: (586) 580-9289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,434.

Total Amount is formed as General ($1,434) + Research ($0) + Ownership ($0) = $1,434.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($238).

Total Amount

$1,434

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2014-07-10

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
I20140710001377IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths1,225179$0
99213Established patient office or other outpatient visit, 20-29 minutes417318$0
17000Destruction of precancer skin growth, 1 growth397261$0
99214Established patient office or other outpatient visit, 30-39 minutes323201$0
17110Destruction of skin growth, 1-14 growths272197$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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Provider's Procedures

DR. JUDY HELEN FONTANA (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI11101Biopsy of each additional growth of skin and/or tissue9364
DERMATOLOGYMI17003Destruction of 2-14 skin growths67787

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: 2466693387View full group profile
NameSpecialtyState
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify DR. JUDY HELEN FONTANA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1780848259 for DR. JUDY HELEN FONTANA (M.D.).
Is DR. JUDY HELEN FONTANA (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JUDY HELEN FONTANA (M.D.) as active.
Which specialty label fits DR. JUDY HELEN FONTANA (M.D.)?
NPPES ties DR. JUDY HELEN FONTANA (M.D.) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JUDY HELEN FONTANA (M.D.)?
DR. JUDY HELEN FONTANA (M.D.) is associated with Clinton Township, Michigan in the same public data insurers reference.
Why is information missing for DR. JUDY HELEN FONTANA (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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