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DANIEL ROSS FOGT
NPI 1083103865
Surgery in Wilmington, OH

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
630 W MAIN ST STE 304, WILMINGTON, OH 45177(937) 283-2520 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Daniel Ross Fogt NPPES

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

DANIEL ROSS FOGT (NPI 1083103865) is an individual surgery provider in Wilmington, Ohio, licensed in Ohio (35.148707) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2018).

NPPES Registry Identity

NPI1083103865
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDANIEL ROSS FOGT
Location Address630 W MAIN ST STE 304Wilmington, OH 45177-2171
Mailing Address630 W Main St Ste 304Wilmington, OH 45177-2171 · (937) 283-2520
Phone(937) 283-2520
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2018
Enumeration DateMay 7, 2018
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1083103865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.148707
Definition
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.
630 W MAIN ST STE 304, Wilmington, OH 45177
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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

Daniel Ross Fogt 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 ID9638428089
PECOS Enrollment IDI20240202003371
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.

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.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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

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

RACHEL CHRISTINE LOVANO MD
Surgery
630 W MAIN ST STE 304
WILMINGTON, OH 45177
Clinton County (937) 283-2520

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 Daniel Fogt's NPI number?

The NPI number for Daniel Fogt is 1083103865. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Daniel Fogt located?

Daniel Fogt practices at 630 W Main St Ste 304, Wilmington, OH 45177. The listed phone number is (937) 283-2520.

What is Daniel Fogt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Daniel Fogt enrolled in Medicare?

Yes. Daniel Fogt 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 Daniel Fogt accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Daniel Fogt 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 Daniel Fogt affiliated with any hospitals?

According to CMS data, Daniel Fogt is affiliated with Clinton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Fogt was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.