NPI registry status
Active
2026 NPPES data Urology Physician NPI 1376530816 MD
Verify on CMS → Frazier Fortenberry, MD
Urology Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 366 beneficiaries · Urology Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
6.5/100
▼ 77 pts below national avg 83.1 · Penalty band
Industry payments
$14.99
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Frazier Fortenberry, MD reported a CMS MIPS final score of 6.5/100 - below the 83.1 national average - and filed 1,434 Medicare Part D claims in 2023.
- 6.5/100
- MIPS score · -77 vs avg
- 1K
- Part D claims, 2023
- 95%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Frazier Fortenberry, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
7 2nd percentile higher than 2% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Frazier Fortenberry, MD sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Frazier Fortenberry, MD writes more Part D claims than 53% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Frazier Fortenberry, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Frazier Fortenberry, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Frazier Fortenberry, MD?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
1,434 12% vs specialty avg
MIPS final score
6.5/100 76.6 pts vs avg
Specialty distribution in Virginia
How Urology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Frazier Fortenberry, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 6.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 6.5/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Frazier Fortenberry, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 630 PETER JEFFERSON PKWY, Charlottesville, VA, 22911, with a listed phone of (434) 244-5722. NPI 1376530816 was issued on 09/30/2005.
Medicare Part D records for calendar year 2023 show 1,434 prescription claims written by this provider, covering 366 Medicare beneficiaries and totaling roughly $83K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 4.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 6.5/100 for the 2023 performance year (Quality 0, Cost 21.8), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1376530816 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/30/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
6.537
Final Score
Avg: 83.1
0
Quality
21.79
Cost
Reporting: Individual
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Frazier Fortenberry, MD. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
PROGENICS PHARMACEUTICALS, INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Generic-heavy
Frazier Fortenberry, MD - brand share 5.0%
Urology Physician average
5% brand-name claims vs 95% generic, on 1,434 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,434
Total Claims
$83K
Total Drug Cost
366
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,877
- Total Day Supply
- 79,644
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $38K
- Generic Drug Cost
- $45K
- Opioid Claims
- 62 (4.3% rate)
- Antibiotic Claims
- 291
Patient Demographics
- Average Patient Age
- 76.7 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 16% female / 84% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Frazier Fortenberry, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
317 claims
- Finasteride
Finasteride
170 claims
- Alfuzosin Hcl Er 113
Alfuzosin Hcl Er
113 claims
- Cefuroxime 98
Cefuroxime
98 claims
- Oxybutynin Chlorid… 85
Oxybutynin Chloride Er
85 claims
- Silodosin 72
Silodosin
72 claims
- Sulfamethoxazole-T… 63
Sulfamethoxazole-Trimethoprim
63 claims
- Duloxetine Hcl 56
Duloxetine Hcl
56 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 317 |
| Finasteride | 170 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 113 |
| Cefuroxime Cefuroxime Axetil | 98 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 85 |
| Silodosin | 72 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 63 |
| Duloxetine Hcl | 56 |
| Cephalexin | 49 |
| Ciprofloxacin Hcl | 46 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Frazier Fortenberry, MD fits within the Urology Physician landscape nationally.
13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Frazier Fortenberry, MD's 1,434 claims are above the specialty average of 1,280.
Nearby Urology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Fortenberry.
Dr. Nassib Abou Heidar
MD
Charlottesville, VA
Dr. Mehrad Adibi
MD
Roanoke, VA
Dr. Joel Alperstein
MD
Fairfax, VA
Dr. Basavlinga Amarkumar
M.D.
Salem, VA
Dr. Mark Anderson
M.D., M.SC.
Charlottesville, VA
Compare Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Frazier Fortenberry, MD's specialty? ▼
Frazier Fortenberry, MD specializes in Urology Physician and practices in Charlottesville, Virginia. Credentials: MD.
How much does Frazier Fortenberry, MD prescribe under Medicare Part D? ▼
In 2023, Frazier Fortenberry, MD wrote 1,434 Medicare Part D claims totaling $83K in drug costs for 366 beneficiaries.
What is Frazier Fortenberry, MD's Medicare quality score? ▼
Frazier Fortenberry, MD has a CMS MIPS Final Score of 6.5/100 (Quality: 0, Cost: 21.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Frazier Fortenberry, MD located? ▼
Frazier Fortenberry, MD is located at 630 PETER JEFFERSON PKWY, Charlottesville, VA, 22911. Phone: (434) 244-5722.
What is Frazier Fortenberry, MD's NPI number? ▼
Frazier Fortenberry, MD's National Provider Identifier (NPI) is 1376530816, issued on 09/30/2005.
Does Frazier Fortenberry, MD prescribe more brand-name or generic drugs? ▼
Frazier Fortenberry, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $38K in brand drug costs.
Does Frazier Fortenberry, MD prescribe opioids? ▼
Yes, Frazier Fortenberry, MD had 62 opioid claims in 2023 with an opioid prescribing rate of 4.3%.
How many Urology Physician providers are there in the US? ▼
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Frazier Fortenberry, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Frazier Fortenberry, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Alfuzosin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Frazier Fortenberry, MD accept Medicare? ▼
Frazier Fortenberry, MD appears in CMS Medicare data with 1,434 Part D claims and 366 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Frazier Fortenberry, MD's credentials? ▼
Frazier Fortenberry, MD's NPI is 1376530816 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.