Active NPI 1205945276 Individual Practitioner Male Practitioner

Dr. Jean Guy Fortin , MD

Ophthalmology • Dothan, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jean Fortin, MD is a certified Ophthalmology practicing in Dothan, AL. With approximately 54 years of clinical experience since completing medical education in 1972, Dr. Fortin delivers high-quality medical care to the local community at 2800 ROSS CLARK CIRCLE.

Dr. Fortin is affiliated with Eye Partners Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection, aflibercept hd, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2800 Ross Clark Circle

Dothan, AL 36301

Telephone 3347932211

Fax 3347937161

Associated Practice Facility / Clinic

🏢 Eye Partners Pc Facility NPI 1902837453

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Dothan, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +23.4 yrs vs City Avg

City Avg: 30.6 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

21 Specialists

Practicing in Dothan, AL (257 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fortin (54 Years) 54 Yrs

Dothan Specialty Average (30.6 Years) 30.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	10,020	36	$45.00	$34.65
92134 Imaging of retina	1,189	477	$70.00	$36.27
J0177 Injection, aflibercept hd, 1 mg	905	35	$406.25	$331.38
92014 Established patient complete exam of visual system	898	570	$150.00	$113.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	712	260	$140.06	$116.46
67028 Injection of drug into eye	583	172	$600.00	$104.92
J0178 Injection, aflibercept, 1 mg	352	83	$1250.00	$828.68
92250 Photography of the retina	255	171	$110.00	$32.83
92133 Imaging of optic nerve	99	83	$70.00	$32.16
92083 Exam of visual field with extended testing	59	57	$115.00	$55.81
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$100.00	$79.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$120.00	$100.55
J3490 Unclassified drugs	28	19	$2444.20	$2037.57
J9035 Injection, bevacizumab, 10 mg	28	15	$100.00	$72.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$225.00	$153.92
92004 New patient complete exam of visual system	13	13	$223.08	$134.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	12,780	43	$45.00	$36.61
92134 Imaging of retina	1,405	553	$69.97	$36.84
92014 Established patient complete exam of visual system	912	572	$150.00	$115.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	801	295	$140.03	$117.62
67028 Injection of drug into eye	542	164	$598.63	$108.39
J0178 Injection, aflibercept, 1 mg	508	94	$1250.00	$868.24
J2778 Injection, ranibizumab, 0.1 mg	195	14	$450.00	$231.39
92250 Photography of the retina	133	84	$110.00	$33.41
92133 Imaging of optic nerve	126	105	$70.00	$33.16
99213 Established patient office or other outpatient visit, typically 15 minutes	71	68	$100.00	$81.97
92083 Exam of visual field with extended testing	67	62	$115.00	$56.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$120.00	$105.19
J9035 Injection, bevacizumab, 10 mg	45	22	$100.00	$71.56
92012 Established patient problem focused exam of visual system	37	37	$105.00	$81.74
66821 Removal of recurring cataract in lens capsule using a laser	23	18	$850.00	$282.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$225.00	$157.64
92201 Extended exam of the back part of the eye with retinal drawing	14	14	$30.00	$23.11
76512 Ultrasound of eye disease, growth, or structure	14	11	$350.00	$43.58
92081 Exam of visual field with limited testing	12	12	$85.00	$28.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	3,601	31	$45.68	$37.45
92134 Imaging of retina	1,531	592	$70.00	$37.82
92014 Established patient complete exam of visual system	1,038	623	$150.00	$118.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	836	303	$164.07	$121.11
J0178 Injection, aflibercept, 1 mg	660	103	$1250.00	$905.22
67028 Injection of drug into eye	600	171	$619.00	$109.54
J2778 Injection, ranibizumab, 0.1 mg	313	27	$450.00	$283.03
92133 Imaging of optic nerve	147	116	$70.00	$33.58
92250 Photography of the retina	108	83	$110.00	$34.23
J3490 Unclassified drugs	90	30	$2611.11	$2292.31
92083 Exam of visual field with extended testing	69	64	$115.00	$57.94
J9035 Injection, bevacizumab, 10 mg	61	28	$100.00	$68.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$133.80	$103.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$225.00	$161.89
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$100.00	$72.67
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	17	15	$250.00	$68.46
92081 Exam of visual field with limited testing	17	16	$85.00	$28.30
92201 Extended exam of the back part of the eye with retinal drawing	14	14	$30.00	$23.57
66821 Removal of recurring cataract in lens capsule using a laser	12	11	$850.00	$289.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,649	673	$70.00	$38.64
92014 Established patient complete exam of visual system	1,216	703	$150.00	$119.69
J0178 Injection, aflibercept, 1 mg	900	107	$1250.00	$918.65
J2778 Injection, ranibizumab, 0.1 mg	698	46	$450.00	$315.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	674	315	$172.05	$123.48
67028 Injection of drug into eye	627	185	$648.80	$112.69
92133 Imaging of optic nerve	181	139	$70.00	$33.97
99213 Established patient office or other outpatient visit, typically 15 minutes	128	123	$100.00	$85.18
92083 Exam of visual field with extended testing	99	91	$115.00	$58.99
92250 Photography of the retina	92	79	$110.00	$36.29
J9035 Injection, bevacizumab, 10 mg	71	36	$100.00	$71.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$225.00	$160.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$150.00	$108.44
92004 New patient complete exam of visual system	24	24	$200.00	$139.16
92201 Extended exam of the back part of the eye with retinal drawing	21	21	$30.00	$23.98
92081 Exam of visual field with limited testing	17	16	$85.00	$29.36
76514 Ultrasound scan of cornea to determine thickness	16	16	$30.00	$10.63
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	13	12	$250.00	$71.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,865	848	$150.00	$120.27
92134 Imaging of retina	1,625	722	$70.00	$38.87
J2778 Injection, ranibizumab, 0.1 mg	816	68	$450.00	$335.34
J0178 Injection, aflibercept, 1 mg	776	114	$1250.00	$928.83
67028 Injection of drug into eye	598	204	$662.21	$103.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	137	$140.00	$101.39
J0179 Injection, brolucizumab-dbll, 1 mg	180	23	$1500.00	$312.50
92133 Imaging of optic nerve	178	154	$70.00	$34.39
92250 Photography of the retina	149	118	$110.00	$42.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$225.00	$156.89
92083 Exam of visual field with extended testing	114	104	$115.00	$59.09
J9035 Injection, bevacizumab, 10 mg	44	23	$100.00	$76.09
92201 Extended exam of the back part of the eye with retinal drawing	31	29	$30.00	$24.54
76514 Ultrasound scan of cornea to determine thickness	18	18	$30.00	$10.79
66821 Removal of recurring cataract in lens capsule using a laser	17	14	$850.00	$297.23
76512 Ultrasound of eye disease, growth, or structure	15	14	$350.00	$47.95
92081 Exam of visual field with limited testing	14	13	$85.00	$31.05
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$90.00	$67.92
92004 New patient complete exam of visual system	11	11	$200.00	$144.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,187	945	$150.00	$118.68
92134 Imaging of retina	1,958	838	$70.00	$38.44
J2778 Injection, ranibizumab, 0.1 mg	1,052	86	$450.00	$353.65
J0178 Injection, aflibercept, 1 mg	946	118	$1250.00	$941.43
67028 Injection of drug into eye	746	229	$620.11	$98.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	222	$140.00	$99.52
92133 Imaging of optic nerve	248	198	$70.00	$33.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$225.00	$153.59
92250 Photography of the retina	146	117	$110.00	$46.06
92083 Exam of visual field with extended testing	142	133	$115.00	$58.89
J9035 Injection, bevacizumab, 10 mg	57	30	$100.00	$79.92
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$90.00	$68.25
92225 Examination of eye by ophthalmoscope with retinal drawing	34	27	$50.00	$26.30
65855 Laser repair to improve eye fluid flow	24	17	$1100.00	$183.34
66821 Removal of recurring cataract in lens capsule using a laser	23	18	$850.00	$292.99
92020 Examination of cornea and iris using lens device and slit lamp	15	13	$50.00	$26.27
76514 Ultrasound scan of cornea to determine thickness	14	14	$50.00	$11.05
92235 Exam of retinal blood vessels using a special camera after injection of a dye	14	14	$290.00	$85.52
76512 Ultrasound of eye disease, growth, or structure	13	12	$350.00	$54.72
67515 Injection of medication or substance into membrane covering eyeball	12	11	$250.00	$73.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,194	1,061	$150.03	$117.41
92134 Imaging of retina	1,941	894	$70.00	$38.52
J0178 Injection, aflibercept, 1 mg	1,042	145	$1247.60	$952.29
67028 Injection of drug into eye	741	235	$611.34	$96.64
J2778 Injection, ranibizumab, 0.1 mg	669	58	$450.00	$370.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	245	$140.00	$96.41
92133 Imaging of optic nerve	292	231	$70.00	$34.12
92250 Photography of the retina	183	138	$110.00	$50.44
92083 Exam of visual field with extended testing	164	144	$115.00	$58.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$225.00	$154.07
J9035 Injection, bevacizumab, 10 mg	76	37	$100.00	$76.21
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$90.00	$67.74
92275 Recording of retinal electrical responses to external stimuli	42	41	$250.00	$131.26
92235 Exam of retinal blood vessels using a special camera after injection of a dye	32	32	$290.00	$79.27
92020 Examination of cornea and iris using lens device and slit lamp	31	27	$50.00	$25.26
92225 Examination of eye by ophthalmoscope with retinal drawing	28	23	$50.00	$25.77
76514 Ultrasound scan of cornea to determine thickness	18	18	$50.00	$12.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$70.00	$40.50
92081 Exam of visual field with limited testing	13	12	$83.00	$29.63
76512 Ultrasound of eye disease, growth, or structure	13	11	$350.00	$65.95
92012 Established patient problem focused exam of visual system	11	11	$100.00	$81.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,507	1,177	$70.00	$37.75
92014 Established patient complete exam of visual system	2,385	1,223	$150.00	$114.63
J0178 Injection, aflibercept, 1 mg	1,048	159	$1250.00	$962.51
67028 Injection of drug into eye	900	285	$602.67	$95.27
J2778 Injection, ranibizumab, 0.1 mg	882	71	$450.00	$371.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$225.00	$148.75
J9035 Injection, bevacizumab, 10 mg	155	64	$100.00	$73.07
92133 Imaging of optic nerve	143	121	$70.00	$34.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	116	$140.00	$90.85
92250 Photography of the retina	112	103	$110.00	$59.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	13	$12.00	$1.81
92235 Exam of retinal blood vessels using a special camera after injection of a dye	76	75	$290.00	$74.99
92083 Exam of visual field with extended testing	54	46	$115.00	$58.62
92225 Examination of eye by ophthalmoscope with retinal drawing	42	38	$50.00	$25.25
67515 Injection of medication or substance into membrane covering eyeball	19	15	$289.47	$94.46
92081 Exam of visual field with limited testing	19	19	$83.00	$29.66
92275 Recording of retinal electrical responses to external stimuli	17	17	$250.00	$128.06
76514 Ultrasound scan of cornea to determine thickness	16	16	$50.00	$13.04
76512 Ultrasound of eye disease, growth, or structure	16	13	$350.00	$77.15
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$90.00	$67.68

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AL 00009017

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000046580 (AL)

Hospital & Practice Group Affiliations

Eye Partners Pc

2800 Ross Clark Cir, Dothan, AL 363012040

Phone: 3347932211

Eye Partners Pc

2800 Ross Clark Cir, Dothan, AL 363012039

Eye Partners Pc

151 Regions Way, Destin, FL 325415106

Phone: 8506506550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Harsha Sen , MD

Ophthalmology

NPI 1255692414

Doctor of Medicine (M.D.)

Dr. Jorge Arango , MD

Ophthalmology

NPI 1295764983

Doctor of Medicine (M.D.)

Marius Heersink

Ophthalmology

NPI 1306475702

Dr. Zsolt Bansagi , MD

Ophthalmology

NPI 1366472383

Doctor of Medicine (M.D.)

Dr. Sebastian Heersink , MD

Ophthalmology

NPI 1376701391

Doctor of Medicine (M.D.)

Cameron Schroeder

Optometrist

NPI 1407619034

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2010

Registered at 2800 ROSS CLARK CIRCLE, DOTHAN, AL 36301 (Tel: 3347932211)

📍

Updated Business Mailing Address February 26, 2010

Registered at 2800 ROSS CLARK CIRCLE, DOTHAN, AL 36301 (Tel: 3347932211)

👤

Provider Name / Credentials Updated February 26, 2010

Recorded as JEAN FORTIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2010

Ophthalmology (License #00009017 in AL)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205945276

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: February 26, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2800 Ross Clark Circle

Dothan, AL 36301

Phone: 3347932211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.