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BENJAMIN REED FOGG MD
NPI 1104320902
Family Medicine in Heber City, UT

Active since March 19, 2018Opted out of Medicare · through Dec 1, 2026
1776 N HIGHWAY 40, STE 101, HEBER CITY, UT 84032(435) 294-2664(801) 274-0049 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Feb 18, 2021, Mar 19, 2018 (3 updates tracked since 2018).

About Benjamin Reed Fogg Md NPPES

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

BENJAMIN REED FOGG MD (NPI 1104320902) is an individual family medicine provider in Heber City, Utah, licensed in Utah (11336500-1205) and active in the NPI registry since March 2018. He has opted out of Medicare through December 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104320902
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN REED FOGGCredential: MD
Location Address1776 N HIGHWAY 40, STE 101Heber City, UT 84032
Mailing Address1776 N Hwy 40, Ste 101Heber City, UT 84032 · (435) 294-2664 · Fax (801) 274-0049
Phone(435) 294-2664
Fax(801) 274-0049
Sole ProprietorYes
Enumeration DateMarch 19, 2018
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1104320902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 11336500-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1776 N HIGHWAY 40, STE 101, Heber City, UT 84032
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Other Names 1

Professional Name (2)Ben Fogg Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Benjamin Reed Fogg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2024 through December 1, 2026.

Opt-Out Effective DateDecember 1, 2024
Opt-Out In Effect ThroughDecember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84032 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

WASATCH MEDICINE LLC
Clinic/Center (Primary Care)
1776 N HIGHWAY 40, STE 101
HEBER CITY, UT 84032
Wasatch County (435) 294-2664
IMPACT MEDICAL LLC
Preventive Medicine (Public Health & General Preventive Medicine)
1776 N HIGHWAY 40, STE 101
HEBER CITY, UT 84032
Wasatch County (435) 294-2664

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 Benjamin Fogg's NPI number?

The NPI number for Benjamin Fogg is 1104320902. It was assigned to this individual provider in the NPPES registry on March 19, 2018. The provider is also known as Ben Fogg MD.

Where is Benjamin Fogg located?

Benjamin Fogg practices at 1776 N Highway 40, Ste 101, Heber City, UT 84032. The listed phone number is (435) 294-2664.

What is Benjamin Fogg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Fogg enrolled in Medicare?

No. Benjamin Fogg has opted out of Medicare through December 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Benjamin Fogg was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.