LANCE FOGLEMAN
NPI 1033476379
Emergency Medicine in Lafayette, LA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
87.36/100
CMS Quality Rating
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503(337) 501-3698 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lance Fogleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANCE FOGLEMAN (NPI 1033476379) is an individual emergency medicine provider in Lafayette, Louisiana, licensed in Louisiana (MD207073) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2012).

NPPES Registry Identity

NPI1033476379
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLANCE FOGLEMAN
Location Address1214 COOLIDGE BLVDLafayette, LA 70503-2621
Mailing Address517 E Demanade DrLafayette, LA 70503-2551 · (337) 501-3698
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 18, 2016
NPI 1033476379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · MD207073
Definition
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.
1214 COOLIDGE BLVD, Lafayette, LA 70503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lance Fogleman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284949082
PECOS Enrollment IDI20150821013720
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
339 services328 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
86 services84 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services60 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.85
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Student in an Organized Health Care Education/Training Program
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Internal Medicine (Nephrology)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Nurse Anesthetist, Certified Registered
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Surgery
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Nurse Practitioner (Acute Care)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Nurse Practitioner (Psychiatric/Mental Health)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Nurse Practitioner (Pediatrics, Critical Care)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Fogleman's NPI number?

The NPI number for Lance Fogleman is 1033476379. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Lance Fogleman located?

Lance Fogleman practices at 1214 Coolidge Blvd, Lafayette, LA 70503. The listed phone number is (337) 501-3698.

What is Lance Fogleman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lance Fogleman enrolled in Medicare?

Yes. Lance Fogleman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lance Fogleman accept?

Health plans from CHRISTUS Health Plan list Lance Fogleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lance Fogleman affiliated with any hospitals?

According to CMS data, Lance Fogleman is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Lance Fogleman was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.