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DR. CAROLE S BURGESS-FONGSAM DDS
NPI 1134447717
Dentist - General Practice in Sandy Spring, MD

Active since May 06, 2010PECOS Enrolled
17810 MEETING HOUSE RD, MOORE BLDG # 205, SANDY SPRING, MD 20860(301) 774-3847(301) 774-4528 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carole S Burgess-fongsam Dds NPPES

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

DR. CAROLE S BURGESS-FONGSAM DDS (NPI 1134447717) is an individual general practice provider in Sandy Spring, Maryland, licensed in Maryland (9667) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134447717
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CAROLE S BURGESS-FONGSAMCredential: DDS
Location Address17810 MEETING HOUSE RD, MOORE BLDG # 205Sandy Spring, MD 20860-1038
Mailing Address17810 Meeting House Rd, Moore Bldg # 205Sandy Spring, MD 20860-1038 · (301) 774-3847 · Fax (301) 774-4528
Phone(301) 774-3847
Fax(301) 774-4528
Sole ProprietorNo
Enumeration DateMay 6, 2010
Last NPPES UpdateMarch 14, 2016
✔ NPI 1134447717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 9667
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
17810 MEETING HOUSE RD, Sandy Spring, MD 20860
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carole S Burgess-fongsam Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20860 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 7

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

NITYA RAMACHANDRAN M.D.
Pediatrics
17810 MEETING HOUSE RD, SUITE 150
SANDY SPRING, MD 20860
Montgomery County (240) 389-1722
INTEGRATIVE PEDIATRICS OF OLNEY INC
Pediatrics (Adolescent Medicine)
17810 MEETING HOUSE RD
SANDY SPRING, MD 20860
Montgomery County (301) 752-0616
AMICARDIAC LLC
Specialist/Technologist Cardiovascular
17810 MEETING HOUSE RD, SUITE 200
SANDY SPRING, MD 20860
Montgomery County (301) 232-5100
AC HOME HEALTH SERVICE, L.L.C.
Home Health
17810 MEETING HOUSE RD
SANDY SPRING, MD 20860
Montgomery County (240) 780-2624
HEALTH MANAGEMENT & CARE INC
Home Health
17810 MEETING HOUSE RD, SUITE 333
SANDY SPRING, MD 20860
Montgomery County (240) 389-1019
TATYANA NICOLE HAMPTON
Behavior Analyst
17810 MEETING HOUSE RD
SANDY SPRING, MD 20860
Montgomery County (240) 342-2666
INTELECARE INC
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
17810 MEETING HOUSE RD, SUITE 210
SANDY SPRING, MD 20860
Montgomery County (301) 570-2929

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 Carole Burgess-fongsam's NPI number?

The NPI number for Carole Burgess-fongsam is 1134447717. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Carole Burgess-fongsam located?

Carole Burgess-fongsam practices at 17810 Meeting House Rd Moore Bldg # 205, Sandy Spring, MD 20860. The listed phone number is (301) 774-3847.

What is Carole Burgess-fongsam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carole Burgess-fongsam enrolled in Medicare?

Yes. Carole Burgess-fongsam is registered in the Medicare PECOS enrollment system.

What insurance does Carole Burgess-fongsam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Carole Burgess-fongsam 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.

When was this NPI record last updated?

The NPPES record for Carole Burgess-fongsam was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.