GARY DEE FORTNER (MD) – Family Medicine Physician, NPI 1891768289

GARY DEE FORTNER (MD) is a healthcare provider. based in Claremore, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 12540 (OK). The NPI Number for GARY DEE FORTNER (MD) is 1891768289

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
GARY DEE FORTNER (MD)
NPI
1891768289
Phone
(918) 341-1044
Address
1408 N FLORENCE AVE
Enumeration Date
8 February 2006
Last Update Date
9 December 2010

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
2567405640
Professional Enrollment ID
I20050609000397
Address ID
OK740173159CL1408XAVEX400
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

1,775 FAMILY PRACTICE in OK

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Provider Addresses for GARY DEE FORTNER (MD)

  • 1408, North Florence Avenue, Claremore, Rogers County, Oklahoma, 74017, United States

    CLAREMORE, OK 740173159

    Phone: (918) 341-1044

    Fax: (918) 341-7443

    Mailing address matches the actual address.

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: 2005-06-09

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
I20050609000397IFamily PracticeOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74017)

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Provider's Procedures

GARY DEE FORTNER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK83036Hemoglobin A1C level1913

Reviews

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Frequently asked questions

Is there an official ID for GARY DEE FORTNER (MD) in U.S. healthcare records?
The official identifier for GARY DEE FORTNER (MD) is NPI 1891768289.
Would GARY DEE FORTNER (MD) appear as active to a payer?
You can treat GARY DEE FORTNER (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to GARY DEE FORTNER (MD)?
GARY DEE FORTNER (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GARY DEE FORTNER (MD)?
Directory geography for GARY DEE FORTNER (MD) centers on Claremore, Oklahoma.
Can I trust this NPI listing for GARY DEE FORTNER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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