Active NPI 1114960473 Individual Practitioner Male Practitioner

Dr. Dewitt Charles Fortenberry , MD

General Practice • Texarkana, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dewitt Fortenberry, MD is a certified General Practice practicing in Texarkana, TX. With approximately 36 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1990, Dr. Fortenberry delivers high-quality medical care to the local community at 2602 SAINT MICHAEL DR.

Dr. Fortenberry accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2602 Saint Michael Dr
Suite 302

Texarkana, TX 755032387

Telephone 9033362391

Associated Practice Facility / Clinic

🏢 Independent Anesthesia Of Texarkana, L.l.p Facility NPI 1588706485

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Texarkana, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Texarkana, TX (1183 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fortenberry (36 Years) 36 Yrs

Texarkana Specialty Average (36.0 Years) 36.0 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,905	363	$175.44	$104.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	345	313	$297.75	$152.09
99239 Hospital discharge day management, more than 30 minutes	243	230	$155.58	$101.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	12	$176.67	$95.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,188	347	$175.06	$114.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	343	304	$300.51	$166.38
99239 Hospital discharge day management, more than 30 minutes	209	196	$161.97	$109.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	47	12	$175.00	$71.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,771	430	$175.30	$98.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	383	358	$299.48	$189.12
99239 Hospital discharge day management, more than 30 minutes	257	251	$155.23	$100.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$258.00	$129.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,339	400	$178.62	$99.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	339	310	$298.16	$192.83
99239 Hospital discharge day management, more than 30 minutes	224	213	$155.00	$102.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$247.30	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,290	381	$175.16	$98.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	324	289	$299.54	$190.50
99239 Hospital discharge day management, more than 30 minutes	210	197	$155.19	$101.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	26	$150.00	$68.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$251.22	$129.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,136	395	$175.71	$101.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	342	303	$304.17	$194.69
99239 Hospital discharge day management, more than 30 minutes	267	240	$154.65	$103.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	30	$150.89	$70.74
99238 Hospital discharge day management, 30 minutes or less	26	26	$150.38	$70.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$254.17	$133.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,916	403	$174.83	$98.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	334	298	$297.38	$191.60
99239 Hospital discharge day management, more than 30 minutes	284	259	$159.92	$102.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,072	442	$174.97	$97.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	407	357	$296.62	$188.47
99239 Hospital discharge day management, more than 30 minutes	343	321	$155.12	$100.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	26	$125.00	$67.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$252.00	$128.10
99238 Hospital discharge day management, 30 minutes or less	13	13	$150.38	$67.62

Medical Specialties & State Licenses

CMS Verified: 2023-09-17

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX L8691

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX L8691

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

167594401 (TX)

Secondary Practice Locations

4920 Elizabeth St

Texarkana, TX 755032912

Phone: 9037923812

Practice Associates & Co-Workers

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

13 Associated Practitioners

Osei Asamoah

Emergency Medicine

NPI 1013028646

Dr. Suman Sinha , MD

Internal Medicine - Pulmonary Disease

NPI 1114947900

Doctor of Medicine (M.D.)

Dr. Kiplan Menefee , MD

Anesthesiology

NPI 1134383250

Doctor of Medicine (M.D.)

Dr. Richard Payne , MD

Anesthesiology

NPI 1245235092

Doctor of Medicine (M.D.)

Dr. James Williams , MD

Anesthesiology

NPI 1245334374

Doctor of Medicine (M.D.)

Cassie Gonzales , APN

Nurse Practitioner - Family

NPI 1306169701

Advanced Practice Nurse

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address September 17, 2023

Registered at 116 WESTLAKE RD, TEXARKANA, TX 755010006 (Tel: 9032937093)

📍

Updated Business Mailing Address April 28, 2021

Registered at 4114 MCKNIGHT RD, TEXARKANA, TX 755031086 (Tel: 9032937093)

✅

NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2018

Registered at 2602 SAINT MICHAEL DR, SUITE 302, TEXARKANA, TX 755032387 (Tel: 9032937093)

📍

Updated Business Mailing Address January 04, 2018

Registered at 5109 HIGH DR, TEXARKANA, TX 75501 (Tel: 9032937093)

👤

Provider Name / Credentials Updated January 04, 2018

Recorded as DEWITT FORTENBERRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Emergency Medicine (License #L8691 in TX)

✅

NPI Profile Active July 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2014

Registered at 2602 SAINT MICHAEL DR, SUITE 302, TEXARKANA, TX 755032387 (Tel: 9032937093)

📍

Updated Business Mailing Address July 21, 2014

Registered at 5109 HIGH DR, TEXARKANA, TX 75501 (Tel: 9032937093)

👤

Provider Name / Credentials Updated July 21, 2014

Recorded as DEWITT FORTENBERRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2014

Emergency Medicine (License #L8691 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1114960473

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: September 17, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

116 Westlake Rd

Texarkana, TX 755010006

Phone: 9032937093

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.