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TODD C. FONG M.D.
NPI 1083957997
Internal Medicine in San Jose, CA

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
777 E SANTA CLARA ST, SAN JOSE, CA 95112(408) 977-4423(408) 977-8705 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Todd C. Fong M.d. NPPES

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

TODD C. FONG M.D. (NPI 1083957997) is an individual internal medicine provider in San Jose, California, licensed in California (A132563) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083957997
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTODD C. FONGCredential: M.D.
Location Address777 E SANTA CLARA STSan Jose, CA 95112-1934
Mailing Address777 E Santa Clara St, Internal MedicineSan Jose, CA 95112-1934 · (408) 977-4423
Phone(408) 977-4423
Fax(408) 977-8705
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateFebruary 22, 2017
✔ NPI 1083957997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A132563
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
777 E SANTA CLARA ST, San Jose, CA 95112
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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

Todd C. Fong M.d. 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 ID6406139203
PECOS Enrollment IDI20170201001172
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 Reassignment

Medicare enrollment records show Todd Fong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
1.8 mi
Federally Qualified Health Center (FQHC)
2101 ALEXIAN DR
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1679675698 (California), NPI 1043354020 (California)
  • 1,232 clinicians in this Medicare group
NPI 1629301346 (408) 885-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

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.

ABRAAR KARAN MD, MPH
Internal Medicine (Infectious Disease)
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (650) 723-4000
MS. SELENE M LUK DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (408) 977-4550
UYEN NHA LE PHARMD
Pharmacist
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (408) 802-3069
MICHAEL GELLER PA
Physician Assistant
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (408) 855-5000
RANIA KHAN MD
Family Medicine
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (888) 334-1000
ARICKA AMANDA ARANA O'HARA LCSW
Social Worker (Clinical)
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (408) 977-8763
COUNTY OF SANTA CLARA
Pharmacy
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (408) 885-2300
COUNTY OF SANTA CLARA
Community/Behavioral Health
777 E SANTA CLARA ST
SAN JOSE, CA 95112
Santa Clara County (408) 885-1234

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 Todd Fong's NPI number?

The NPI number for Todd Fong is 1083957997. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Todd Fong located?

Todd Fong practices at 777 E Santa Clara St, San Jose, CA 95112. The listed phone number is (408) 977-4423.

What is Todd Fong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Todd Fong enrolled in Medicare?

Yes. Todd Fong 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 organization bills Medicare for Todd Fong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Fong reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The 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 Todd Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Todd Fong was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.