AMANDA LYNNE FAGAN D.O - NPI 1245617802 - Family Medicine in Orlando, FL

Q: What is Amanda Fagan's NPI number?

The NPI number for Amanda Fagan is 1245617802. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Amanda Lynne Stuck.

Q: What is Amanda Fagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Fagan was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Lynne Fagan D.o NPPES

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

AMANDA LYNNE FAGAN D.O (NPI 1245617802) is an individual family medicine provider in Orlando, Florida, licensed in Florida (OS17191) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245617802

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMANDA LYNNE FAGANCredential: D.O

Location Address4613 S ORANGE BLOSSOM TRLOrlando, FL 32839-1705

Mailing Address4613 S Orange Blossom TrlOrlando, FL 32839-1705 · (407) 232-9833 · Fax (407) 232-9829

Phone(407) 232-9833

Fax(407) 232-9829

Sole ProprietorNo

Enumeration DateMay 4, 2015

Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2021

✔ NPI 1245617802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · OS17191✔ Licensed in NV · DO2319✔ Licensed in NV · SL1068

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.

4613 S ORANGE BLOSSOM TRL, Orlando, FL 32839

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Other Names 1

Former Name (1)Amanda Lynne Stuck

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lynne Fagan D.o 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 32839 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.

Other Providers at the Same Location NPPES 8

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

NATACHA SEIDU ARNP

Nurse Practitioner (Family)