MICHAEL FOMENKY CNP
NPI 1053781575
Nurse Practitioner - Family in Delaware, OH

Active since September 26, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
336 W WIND RD, DELAWARE, OH 43015(000) 000-0000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Fomenky Cnp NPPES

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

MICHAEL FOMENKY CNP (NPI 1053781575) is an individual family provider in Delaware, Ohio, licensed in Ohio (COA.18158-NP) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1053781575
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL FOMENKYCredential: CNP
Location Address336 W WIND RDDelaware, OH 43015-7737
Mailing Address336 W Wind RdDelaware, OH 43015-7737 · (000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 26, 2015
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1053781575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · COA.18158-NP
336 W WIND RD, Delaware, OH 43015

Secondary Practice Locations 5

Location 11 Wyoming St Ste Se3100BDayton, OH 45409-2722 · Phone (937) 208-8394 · Fax (937) 641-2780
Location 29000 N Main StEnglewood, OH 45415-1180 · Phone (937) 208-8394 · Fax (937) 641-2780
Location 33130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 641-2780
Location 42400 Miami Valley DrCenterville, OH 45459-4774 · Phone (937) 208-8394 · Fax (937) 641-2780
Location 51 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 974-2111 · Fax (937) 641-2780

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

Michael Fomenky Cnp 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 ID1850693789
PECOS Enrollment IDI20160108000576
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
232 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43015 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
336 W WIND RD
DELAWARE, OH 43015

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 Michael Fomenky's NPI number?

The NPI number for Michael Fomenky is 1053781575. It was assigned to this individual provider in the NPPES registry on September 26, 2015.

Where is Michael Fomenky located?

Michael Fomenky practices at 336 W Wind Rd, Delaware, OH 43015. The listed phone number is (000) 000-0000.

What is Michael Fomenky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Fomenky enrolled in Medicare?

Yes. Michael Fomenky 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 Michael Fomenky accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Michael Fomenky 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 Michael Fomenky affiliated with any hospitals?

According to CMS data, Michael Fomenky is affiliated with Grant Medical Center, Atrium Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Michael Fomenky was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.