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VAN BRANDON FOLES MD
NPI 1134550056
Surgery in Milton, FL

Active since December 03, 2013PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
5992 BERRYHILL RD, SUITE 203, MILTON, FL 32570(850) 626-5391(850) 626-5388 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Van Brandon Foles Md NPPES

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

VAN BRANDON FOLES MD (NPI 1134550056) is an individual surgery provider in Milton, Florida, licensed in Florida (ME116335) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with Santa Rosa Medical Center, and is a graduate of University Of Mississippi School Of Medicine (2011).

NPPES Registry Identity

NPI1134550056
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVAN BRANDON FOLESCredential: MD
Location Address5992 BERRYHILL RD, SUITE 203Milton, FL 32570-1013
Mailing Address5992 Berryhill Rd, Suite 203Milton, FL 32570-1013 · (850) 626-5391 · Fax (850) 626-5388
Phone(850) 626-5391
Fax(850) 626-5388
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2011
Enumeration DateDecember 3, 2013
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1134550056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME116335
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.
5992 BERRYHILL RD, Milton, FL 32570
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Van Brandon Foles 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 ID8022248426
PECOS Enrollment IDI20160924000229
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 8

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.
68 services48 patients
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.
32 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services18 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.
27 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients

Hospital Affiliations CMS Care Compare

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

Santa Rosa Medical Center

Acute Care Hospitals · Milton, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100124
Location6002 Berryhill RdMilton, FL 32570 · Santa Rosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32570 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
39%69 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
23%148 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%808 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%334 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 86 patients
77%86 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

FLORA LORNA CABREROS M.D.
Internal Medicine
5992 BERRYHILL RD, SUITE 303
MILTON, FL 32570
Santa Rosa County (850) 626-4208
DR. MOHAMED BADR SULTAN MD
Psychiatry & Neurology (Neurology)
5992 BERRYHILL RD, SUITE 104
MILTON, FL 32570
Santa Rosa County (850) 626-5324
MARK J ELDER DO PA
Family Medicine
5992 BERRYHILL RD
MILTON, FL 32570
Santa Rosa County (850) 981-0320
DR. RICARDO KEVIN MOHAMMED D.O.
Surgery
5992 BERRYHILL RD, SUITE 203
MILTON, FL 32570
Santa Rosa County (850) 626-5391
KEVIN MICHAEL CHOBERT PT
Physical Therapist
5992 BERRYHILL RD
MILTON, FL 32570
Santa Rosa County (850) 626-5187
DR. NOAH ROGERS DPT
Physical Medicine & Rehabilitation
5992 BERRYHILL RD
MILTON, FL 32570
Santa Rosa County (850) 626-5187
DR. TAVARIS BROOKS SR. DNP
Nurse Practitioner (Family)
5992 BERRYHILL RD
MILTON, FL 32570
Santa Rosa County (850) 981-7738
SANTA ROSA GASTROENTEROLOGY
Internal Medicine (Gastroenterology)
5992 BERRYHILL RD, SUITE 201
MILTON, FL 32570
Santa Rosa County (850) 626-9626

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 Van Foles's NPI number?

The NPI number for Van Foles is 1134550056. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Where is Van Foles located?

Van Foles practices at 5992 Berryhill Rd Suite 203, Milton, FL 32570. The listed phone number is (850) 626-5391.

What is Van Foles's specialty?

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

Is Van Foles enrolled in Medicare?

Yes. Van Foles 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 Van Foles accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Van Foles 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 Van Foles affiliated with any hospitals?

According to CMS data, Van Foles is affiliated with Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Van Foles was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.