1. Home
  2. Directory
  3. Florida
  4. Lake Worth
  5. Internal Medicine
  6. NPI Profile

ROBERTO FOGEL MD
NPI 1083033765
Internal Medicine - Gastroenterology in Lake Worth, FL

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
5065 S STATE ROAD 7 STE 201, LAKE WORTH, FL 33449(561) 753-7487(561) 753-8161 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roberto Fogel Md NPPES

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

ROBERTO FOGEL MD (NPI 1083033765) is an individual gastroenterology provider in Lake Worth, Florida, licensed in Florida (ME134227) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1083033765
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROBERTO FOGELCredential: MD
Location Address5065 S STATE ROAD 7 STE 201Lake Worth, FL 33449-5439
Mailing Address5065 S State Road 7 Ste 201Lake Worth, FL 33449-5439 · (561) 753-7487 · Fax (561) 753-8161
Phone(561) 753-7487
Fax(561) 753-8161
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 10, 2014
Last NPPES UpdateJune 15, 2023
NPPES CertifiedDecember 8, 2022
✔ NPI 1083033765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME134227
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MFC1715 (FL)
5065 S STATE ROAD 7 STE 201, Lake Worth, FL 33449
Open in Google Maps ↗

Other Identifiers 2

Other14U55FL · Bc/bs Of Fl
Medicaid011063400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberto Fogel Md 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 ID1254555303
PECOS Enrollment IDI20140612000380
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Roberto Fogel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eisenman & Eisenman,m.D.,llc
2.4 mi
Gastroenterology
5065 STATE RD 7, SUITE 201
Lake Worth, FL 33449
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1225062243 (561) 753-7487
University Of Miami
15 mi
Ambulatory Surgical
7103 FAIRWAY DR
Palm Beach Gardens, FL 33418
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1346317039 (561) 515-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services24 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
19 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100288
Location901 45th StWest Palm Beach, FL 33407 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33449 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 2

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

DR. JOSE MANUEL MELENDEZ-ROSADO M.D.
Internal Medicine (Gastroenterology)
5065 S STATE ROAD 7 STE 201
LAKE WORTH, FL 33449
Palm Beach County (561) 753-7487
YOUSEF JOSEPH USTA MD
Internal Medicine (Gastroenterology)
5065 S STATE ROAD 7 STE 201
LAKE WORTH, FL 33449
Palm Beach County (561) 753-7487

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 Roberto Fogel's NPI number?

The NPI number for Roberto Fogel is 1083033765. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Roberto Fogel located?

Roberto Fogel practices at 5065 S State Road 7 Ste 201, Lake Worth, FL 33449. The listed phone number is (561) 753-7487.

What is Roberto Fogel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Roberto Fogel enrolled in Medicare?

Yes. Roberto Fogel 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.

Which organizations bill Medicare for Roberto Fogel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Fogel reassigns Medicare benefits to 2 organizations: Eisenman & Eisenman,m.D.,llc (Lake Worth, FL) and University Of Miami (Palm Beach Gardens, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Fogel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Fogel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Roberto Fogel 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 Roberto Fogel affiliated with any hospitals?

According to CMS data, Roberto Fogel is affiliated with Good Samaritan Medical Center and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Roberto Fogel was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.