MARK MATTESON FOGG DCNP, FNP, APRN
NPI 1194123729
Nurse Practitioner - Primary Care in Trinity, FL

Q: What is Mark Fogg's NPI number?

The NPI number for Mark Fogg is 1194123729. It was assigned to this individual provider in the NPPES registry on December 14, 2014.

Q: What is Mark Fogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Fogg was last updated on December 24, 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.

Active since December 14, 2014PECOS Enrolled

1019 FLORA VISTA ST, TRINITY, FL 34655(727) 698-3963 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 24, 2025, Dec 5, 2025, Feb 6, 2025 and 3 more (6 updates tracked since 2019).

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About Mark Matteson Fogg Dcnp, Fnp, Aprn NPPES

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

MARK MATTESON FOGG DCNP, FNP, APRN (NPI 1194123729) is an individual primary care provider in Trinity, Florida, licensed in Florida (APRN2794242) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194123729

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameMARK MATTESON FOGGCredential: DCNP, FNP, APRN

Location Address1019 FLORA VISTA STTrinity, FL 34655-7025

Mailing Address1019 Flora Vista StTrinity, FL 34655-7025 · (727) 698-3963

Phone(727) 698-3963

Sole ProprietorNo

Enumeration DateDecember 14, 2014

Last NPPES UpdateDecember 24, 20256 updates tracked since enumeration

NPPES CertifiedDecember 24, 2025

✔ NPI 1194123729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in FL · APRN2794242

1019 FLORA VISTA ST, Trinity, FL 34655

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Matteson Fogg Dcnp, Fnp, Aprn 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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Fogg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology Healthcare, LLC

9.2 mi

Dermatology

10820 SHELDON RD
Tampa, FL 33626

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1124463104 (813) 886-7673

Robert A. Norman, D.O., P.A.

9.2 mi

Dermatology

10820 SHELDON RD
Tampa, FL 33626

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Robert A. Norman Do PA
7 clinicians in this Medicare group

NPI 1558391219 (813) 880-7546

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

Areas of Expertise CMS Part B claims 9

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.

113 services52 patients

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.

90 services44 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

74 services14 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

65 services27 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

62 services43 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

35 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34655 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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 Mark Fogg's NPI number?

The NPI number for Mark Fogg is 1194123729. It was assigned to this individual provider in the NPPES registry on December 14, 2014.

Where is Mark Fogg located?

Mark Fogg practices at 1019 Flora Vista St, Trinity, FL 34655. The listed phone number is (727) 698-3963.

What is Mark Fogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mark Fogg enrolled in Medicare?

Yes. Mark Fogg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Fogg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fogg reassigns Medicare benefits to 2 organizations: Dermatology Healthcare, LLC (Tampa, FL) and Robert A. Norman, D.O., P.A. (Tampa, FL). Each 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 Mark Fogg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Fogg accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Wellpoint list Mark Fogg 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 Mark Fogg was last updated on December 24, 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.