DR. FRAZIER T JR. FORTENBERRY (MD) – Urology Physician, NPI 1376530816
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
319 UROLOGY in VA
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Provider Addresses for DR. FRAZIER T JR. FORTENBERRY (MD)
Eyelid & Facial Aesthetics, 630, Peter Jefferson Parkway, Glenorchy, Charlottesville, Albemarle County, Virginia, 22911, United States
SUITE 135
CHARLOTTESVILLE, VA 229118605
Phone: (434) 244-5722
Fax: (434) 244-5723
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)
CMS reports 4 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($48).
Total Amount
$96
General + Research + Ownership
Payments
4
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $48 |
| Progenics Pharmaceuticals, Inc. | $31 |
| Sumitomo Pharma America, Inc. | $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: 2004-05-13
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 |
|---|---|---|---|---|
| I20040513001106 | I | Urology | 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 |
|---|---|---|---|---|
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 828 | 559 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 359 | 292 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 359 | 287 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 327 | 241 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 153 | 21 | $0 |
Insurance plans in this area (ZIP 22911)
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Provider's Procedures
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