LINA FOUAD MD
NPI 1285944462
Obstetrics & Gynecology - Gynecology in St Augustine, FL

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
111 NATURE WALK PKWY UNIT 107, ST AUGUSTINE, FL 32092(904) 800-7613 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 4, 2025, Apr 4, 2025, Aug 21, 2019 and 1 more (4 updates tracked since 2017).

About Lina Fouad Md NPPES

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

LINA FOUAD MD (NPI 1285944462) is an individual gynecology provider in St Augustine, Florida, licensed in Florida (ME120560) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285944462
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameLINA FOUADCredential: MD
Location Address111 NATURE WALK PKWY UNIT 107St Augustine, FL 32092-3065
Mailing Address111 Nature Walk Pkwy Unit 107St Augustine, FL 32092-3065
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 20, 2010
Last NPPES UpdateJuly 4, 20254 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1285944462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME120560
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MT198292 (PA)
111 NATURE WALK PKWY UNIT 107, St Augustine, FL 32092

Other Identifiers 1

Medicaid003181653AGA

Accepted 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

Lina Fouad 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 ID7719105626
PECOS Enrollment IDI20140905000569
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

2

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

Family Medicine
5460 BLANDING BLVD STE 3, UFJP ANCHOR PLAZA
Jacksonville, FL 32244
  • Reassigned Medicare billing, Florida enrollment
  • 573 clinicians in this Medicare group
Obstetrics & Gynecology
3225 AVIATION AVE, SUITE #700
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 716 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Lina Fouad's NPI number?

The NPI number for Lina Fouad is 1285944462. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Lina Fouad located?

Lina Fouad practices at 111 Nature Walk Pkwy Unit 107, St Augustine, FL 32092. The listed phone number is (904) 800-7613.

What is Lina Fouad's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lina Fouad enrolled in Medicare?

Yes. Lina Fouad 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 organizations bill Medicare for Lina Fouad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lina Fouad reassigns Medicare benefits to 2 organizations: University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL) and Vitalmd Group Holding LLC (Miami, 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 Lina Fouad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lina Fouad accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Lina Fouad 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 Lina Fouad was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.