MARSHALL SHANE FOSTER M.D.
NPI 1285717231
Family Medicine in Brevard, NC

Q: What is Marshall Foster's NPI number?

The NPI number for Marshall Foster is 1285717231. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Marshall Foster'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 Marshall Foster was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment

93.51/100

CMS Quality Rating

377 GALLIMORE RD, BREVARD, NC 28712(828) 884-9030(828) 884-3563 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2022, Apr 1, 2021, Mar 2, 2021 (3 updates tracked since 2021).

On this page

About Marshall Shane Foster M.d. NPPES

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

MARSHALL SHANE FOSTER M.D. (NPI 1285717231) is an individual family medicine provider in Brevard, North Carolina, licensed in North Carolina (97-00552) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains a secondary practice location in Brevard.

NPPES Registry Identity

NPI1285717231

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARSHALL SHANE FOSTERCredential: M.D.

Location Address377 GALLIMORE RDBrevard, NC 28712-8874

Mailing Address377 Gallimore RdBrevard, NC 28712-8874 · (828) 884-9030 · Fax (828) 884-3563

Phone(828) 884-9030

Fax(828) 884-3563

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 1994

Enumeration DateOctober 23, 2006

Last NPPES UpdateJanuary 7, 20223 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1285717231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 97-00552

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.

377 GALLIMORE RD, Brevard, NC 28712

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Secondary Practice Location 1

Location 11409 Asheville HwyBrevard, NC 28712-9524 · Phone (828) 435-8400 · Fax (828) 435-8401

Other Identifiers 7

Other01-70986NC · United Healthcare

Other1051XNC · Blue Cross Blue Shield

Medicaid891051XNC

OtherNCM978DNC · Medicare Ptan

Other561852981GNC · Cigna

Other0637660001NC · Palmetto Gov. Benefits

Other080108995NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marshall Shane Foster M.d. 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 ID1850461716

PECOS Enrollment IDI20100811000956

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 Reassignment

Medicare enrollment records show Marshall Foster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henderson County Hospital Corporation

3.5 mi

Federally Qualified Health Center (FQHC)

1409 ASHEVILLE HWY
Brevard, NC 28712

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1447877238 (North Carolina)
21 clinicians in this Medicare group

NPI 1063151678 (828) 435-8400

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

Hospital Affiliations CMS Care Compare 4

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340017

Location800 N Justice StHendersonville, NC 28791 · Henderson County

Emergency services Birthing friendly

Highlands Cashiers Hospital

Critical Access Hospitals · Highlands, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341316

Location190 Hospital DriveHighlands, NC 28741 · Macon County

Emergency services

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341319

Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28712 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

93.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.23

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers42 claims90 services$6.53 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers27 claims31 services$1.15 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers20 claims20 services$41.61 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers22 claims115 services$3.02 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers11 claims11 services$14.32 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims12 services$75.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RAY H. DUNKELBERG M.D.

Internal Medicine

377 GALLIMORE RD
BREVARD, NC 28712

Transylvania County (828) 884-4846

TRANSYLVANIA COMMUNITY HOSPITAL, INC.

Family Medicine

377 GALLIMORE RD
BREVARD, NC 28712

Transylvania County (828) 884-9030

JAMES ROBERT SHAW MD

Family Medicine

377 GALLIMORE RD, BREVARD
BREVARD, NC 28712

Transylvania County (828) 884-9030

DR. KRISTEN ABBOTT PHARMD

Pharmacist

377 GALLIMORE RD
BREVARD, NC 28712

Transylvania County (847) 650-5561

JAMES EARL BRYANT MD

Family Medicine

377 GALLIMORE RD
BREVARD, NC 28712

Transylvania County (828) 884-9030

MEDICAL ASSOCIATES OF TRANSYLVANIA PA

Family Medicine

377 GALLIMORE RD
BREVARD, NC 28712

Transylvania County (828) 884-9030

CAROLINA SPINE&NEUROSURGERY CENTER PA

Neurological Surgery

377 GALLIMORE RD
BREVARD, NC 28712

Transylvania County (828) 255-7776

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 Marshall Foster's NPI number?

The NPI number for Marshall Foster is 1285717231. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Marshall Foster located?

Marshall Foster practices at 377 Gallimore Rd, Brevard, NC 28712. The listed phone number is (828) 884-9030.

What is Marshall Foster's specialty?

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

Is Marshall Foster enrolled in Medicare?

Yes. Marshall Foster 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.

Which organization bills Medicare for Marshall Foster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Foster reassigns Medicare benefits to Henderson County Hospital Corporation (Brevard, NC). The 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 Marshall Foster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marshall Foster accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Marshall Foster 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 Marshall Foster affiliated with any hospitals?

According to CMS data, Marshall Foster is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Margaret R Pardee Memorial Hospital, Highlands Cashiers Hospital and Transylvania Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Marshall Foster was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.