DR. JAY C. FERTILE (MD) – Diagnostic Radiology Physician, NPI 1104899616
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
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Provider Addresses for DR. JAY C. FERTILE (MD)
PO BOX 197
STATE COLLEGE, PA 168040197
Phone:
Type: Mailing
Sentara Martha Jefferson Hospital, 500, Martha Jefferson Drive, Charlottesville, Albemarle County, Virginia, 22911, United States
CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 229114668
Phone: (434) 244-4580
Fax: (434) 244-4579
Type: Location
Virginia Beach Post Office, 501, Viking Drive, Lynnhaven, Virginia Beach, Virginia, 23452, United States
VIRGINIA BEACH, VA 234502546
Phone: (434) 244-4580
Fax: (434) 244-4579
Type: Mailing
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: 2010-05-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100513000204 | I | Diagnostic Radiology | VA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 656 | 571 | $0 |
| 77067 | Screening mammography | 390 | 390 | $0 |
| 70450 | Ct scan head or brain without contrast | 389 | 351 | $0 |
| 77063 | Screening 3d breast mammography | 388 | 388 | $0 |
| 71046 | X-ray of chest, 2 views | 375 | 372 | $0 |
Insurance plans in this area (ZIP 16804)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Pediatric Medicine, Diagnostic Radiology | VA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | PA | |
| Interventional Radiology, Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA |
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