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ELIZABETH FAGAN MD
NPI 1295707156
Family Medicine in Summit, NJ

Active since February 06, 2006Opted out of Medicare · through May 15, 2027
12 BANK ST STE 201, SUMMIT, NJ 07901(908) 376-6550 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Fagan Md NPPES

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

ELIZABETH FAGAN MD (NPI 1295707156) is an individual family medicine provider in Summit, New Jersey, licensed in New Jersey (MA074625) and active in the NPI registry since February 2006. She has opted out of Medicare through May 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295707156
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH FAGANCredential: MD
Location Address12 BANK ST STE 201Summit, NJ 07901-3661
Mailing Address12 Bank St Ste 201Summit, NJ 07901-3661 · (908) 376-6550
Phone(908) 376-6550
Sole ProprietorYes
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMay 1, 2013
✔ NPI 1295707156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA074625
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.
12 BANK ST STE 201, Summit, NJ 07901
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Other Identifiers 2

Medicare UPINI18461NJ
Medicare ID-Type Unspecified083830AUKNJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elizabeth Fagan Md 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 May 15, 2019 through May 15, 2027.

Opt-Out Effective DateMay 15, 2019
Opt-Out In Effect ThroughMay 15, 2027Opt-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 07901 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Elizabeth Fagan's NPI number?

The NPI number for Elizabeth Fagan is 1295707156. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Elizabeth Fagan located?

Elizabeth Fagan practices at 12 Bank St Ste 201, Summit, NJ 07901. The listed phone number is (908) 376-6550.

What is Elizabeth Fagan's specialty?

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

Is Elizabeth Fagan enrolled in Medicare?

No. Elizabeth Fagan has opted out of Medicare through May 15, 2027. 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 Elizabeth Fagan was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.