CHRISTOPHER R FORTENBACH (MD) – Ophthalmology Physician, NPI 1194116889
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
466 OPHTHALMOLOGY in WA
Provider Addresses for CHRISTOPHER R FORTENBACH (MD)
PO BOX 50095
SEATTLE, WA 981455095
Phone:
Type: Mailing
325 9TH AVE
SEATTLE, WA 981042420
Phone: (206) 520-5000
Type: Location
200 HAWKINS DR DEPT OF
IOWA CITY, IA 522421009
Phone: (319) 356-2852
Fax: (319) 356-1520
Type: Mailing
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-2852
Fax: (319) 356-1520
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.
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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: 2023-08-29
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 |
|---|---|---|---|---|
| I20230829001254 | I | Ophthalmology | WA | 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 |
|---|---|---|---|---|
| 67028 | Injection of drug into eye | 86 | 81 | $0 |
| 92134 | Imaging of retina | 85 | 76 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 34 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
Insurance plans in this area (ZIP 98145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
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