DR. DOUGLAS LLOYD FOGEL PSY.D.
NPI 1144583576
Psychologist - Clinical in Baltimore, MD

Active since June 20, 2012Opted out of Medicare · through Oct 1, 2026
711 W 40TH ST, SUITE 456B, BALTIMORE, MD 21211(202) 669-3825 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas Lloyd Fogel Psy.d. NPPES

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

DR. DOUGLAS LLOYD FOGEL PSY.D. (NPI 1144583576) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (03974) and active in the NPI registry since June 2012. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144583576
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DOUGLAS LLOYD FOGELCredential: PSY.D.
Location Address711 W 40TH ST, SUITE 456BBaltimore, MD 21211-2120
Mailing Address321 Penwood RdSilver Spring, MD 20901-2717 · (202) 669-3825
Sole ProprietorYes
Enumeration DateJune 20, 2012
NPI 1144583576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 03974
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
711 W 40TH ST, Baltimore, MD 21211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Douglas Lloyd Fogel Psy.d. 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 October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

Pharmacist
711 W 40TH ST
BALTIMORE, MD 21211
Psychologist (Counseling)
711 W 40TH ST, SUITE 428
BALTIMORE, MD 21211
Psychologist
711 W 40TH ST, SUITE 235
BALTIMORE, MD 21211
Psychologist (Clinical)
711 W 40TH ST, SUITE 316A
BALTIMORE, MD 21211
Pharmacist
711 W 40TH ST
BALTIMORE, MD 21211
Psychiatry & Neurology (Psychiatry)
711 W 40TH ST, SUITE 455
BALTIMORE, MD 21211
Dentist
711 W 40TH ST, STE 215
BALTIMORE, MD 21211
Social Worker (Clinical)
711 W 40TH ST, SUITE 200
BALTIMORE, MD 21211

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 Douglas Fogel's NPI number?

The NPI number for Douglas Fogel is 1144583576. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Douglas Fogel located?

Douglas Fogel practices at 711 W 40th St Suite 456B, Baltimore, MD 21211. The listed phone number is (202) 669-3825.

What is Douglas Fogel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Douglas Fogel enrolled in Medicare?

No. Douglas Fogel has opted out of Medicare through October 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 Douglas Fogel was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.