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Dr. Mark Ambrose Fontana , MD

Surgery โ€ข Norfolk, VA

Active NPI 1598769960 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

6251 E Virginia Beach Blvd Ste 300
Norfolk, VA 235022824

Call 7572615000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6251 E Virginia Beach Blvd Ste 300

Norfolk, VA 235022824

Telephone 7572615000
Fax 7579625610
Organization at the Same NPPES Address or Phone
Sentara Medical Group Facility NPI 1679221246

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Norfolk, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Albemarle Physician Services - Sentara Inc; Sentara Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

1992

Medicare patients

184 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $26,761 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $19,983 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

29 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$45 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $6,300.00 across 4 records.

By nature of payment

  • Education: $6,000.00 across 2 records.
  • Food and Beverage: $300.00 across 2 records.

Reporting-company totals

  • INTUITIVE SURGICAL, INC.: $6,300.00 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

34 years (graduated 1992)

CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Fontana has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Fontana as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Norfolk and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Surgery in Norfolk, VA (2024, 21 clinicians with data). Median for this group: 275. Middle half: 206 to 437.

Close to the middle for clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: 235. Middle half: 111 to 391.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Surgery in Norfolk, VA (2024, 21 clinicians with data). Median for this group: $32,774. Middle half: $21,786 to $56,978.

Close to the middle for clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: $30,215. Middle half: $12,133 to $59,476.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Surgery in Norfolk, VA (2024, 21 clinicians with data). Median for this group: $26,112. Middle half: $17,033 to $43,583.

Close to the middle for clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: $23,123. Middle half: $9,101 to $46,099.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Surgery in Norfolk, VA (2024, 20 clinicians with data). Median for this group: 33. Middle half: 20 to 95.

Fewer Part D prescriptions than 65% of clinicians listed under Surgery in Virginia (2024, 366 clinicians with data). Median for this group: 52. Middle half: 24 to 117.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Surgery in Norfolk, VA (2024, 20 clinicians with data). Median for this group: $154. Middle half: $35 to $1,369.

A lower Part D drug cost than 85% of clinicians listed under Surgery in Virginia (2024, 366 clinicians with data). Median for this group: $225. Middle half: $84 to $1,156.

38 active clinicians are listed under Surgery with a practice address in Norfolk, VA (865 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norfolk

5.3% of these 38 clinicians have the CMS telehealth indicator.

65.8% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $6,300.00.

Manufacturer Payment Nature Product Type Amount ($)
INTUITIVE SURGICAL, INC.
Education
Cash or cash equivalent
Da Vinci Surgical System General $4,000.00
INTUITIVE SURGICAL, INC.
Education
Cash or cash equivalent
Da Vinci Surgical System General $2,000.00
INTUITIVE SURGICAL, INC.
Food and Beverage
Cash or cash equivalent
Da Vinci Surgical System General $150.00
INTUITIVE SURGICAL, INC.
Food and Beverage
Cash or cash equivalent
Da Vinci Surgical System General $150.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
60 60 $158.68 $81.71
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
47 34 $95.26 $49.41
49650 Repair of groin hernia using an endoscope
22 22 $946.82 $491.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $257.45 $132.98
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
22 20 $127.91 $65.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 17 $190.78 $97.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
15 15 $334.40 $172.92

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 16 54 $30.60 16
Oxycodone Hcl Oxycodone Hcl 13 38 $14.20 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-23
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES VA 0101049884

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES VA 0101049884

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NC 2016-00298

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
010142164 (VA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20160429001815

Enrollment State Jurisdiction

NC

PECOS Control ID

3173576998

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Albemarle Physician Services - Sentara Inc

1177 N Rd St, Elizabeth City, NC 279093388

Phone: 2523842560

Sentara Medical Group

880 Kempsville Rd, Norfolk, VA 235023978

Phone: 7572615000

Secondary Practice Locations

6160 Kempsville Cir, Ste 101b

Norfolk, VA 235023933

Phone: 7574612515

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
NPI 1750386041

Doctor of Medicine (M.D.)

NPI 1467498295

Doctor of Medicine (M.D.)

NPI 1831658780

Doctor of Medicine (M.D.)

NPI 1598926842

Doctor of Medicine (M.D.)

Vicky Gaddis , PA

Physician Assistant

NPI 1770244618

Physician Assistant

Dr. Raffaele Marchigiani , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1629207139

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location April 23, 2021

Registered at 6251 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 235022824 (Tel: 7572615000)

๐Ÿ“
Updated Business Mailing Address April 23, 2021

Registered at 6251 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 235022824 (Tel: 7572615000)

โœ…
NPI Profile Active November 20, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 20, 2007

Registered at 6160 KEMPSVILLE CIR, STE 101B, NORFOLK, VA 235023933 (Tel: 7574612515)

๐Ÿ“
Business Mailing Address (Initial Record) November 20, 2007

Registered at 6160 KEMPSVILLE CIR, STE 101B, NORFOLK, VA 235023933 (Tel: 7574612515)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 20, 2007

Recorded as MARK FONTANA, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2007

Specialist (license number reported to NPPES: VA 0101049884)

๐ŸŸข
Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598769960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: April 23, 2021
Sole Proprietor: No

Other Surgery Specialists in Norfolk

All Surgery Specialists in Norfolk

Mailing Address

6251 E Virginia Beach Blvd Ste 300

Norfolk, VA 235022824

Phone: 7572615000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.