DR. ELIZABETH W. FOMBY M.D.
NPI 1306805783
Family Medicine in Temple, TX

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
1402 W AVENUE H, TEMPLE, TX 76504(254) 771-8411 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Elizabeth W. Fomby M.d. NPPES

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

DR. ELIZABETH W. FOMBY M.D. (NPI 1306805783) is an individual family medicine provider in Temple, Texas, licensed in Texas (L2252) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Seton Medical Center Harker Heights, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1993).

NPPES Registry Identity

NPI1306805783
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELIZABETH W. FOMBYCredential: M.D.
Location Address1402 W AVENUE HTemple, TX 76504-5342
Mailing AddressPo Box 847408Dallas, TX 75284-7408 · (254) 724-2111
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1993
Enumeration DateMarch 22, 2006
Last NPPES UpdateAugust 12, 2013
✔ NPI 1306805783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L2252
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.
1402 W AVENUE H, Temple, TX 76504

Other Identifiers 5

Other060065019TX · Rr/medicare
Other8B4706TX · Blue Shield
Medicare ID-Type Unspecified8273M2TX
Medicare UPINF95752TX
Medicaid1457848-01TX

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

Dr. Elizabeth W. Fomby 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 ID5193872646
PECOS Enrollment IDI20090420000623
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

6

Medicare enrollment records show Elizabeth Fomby reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2401 S 31ST ST
Temple, TX 76508
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
Critical Care Medicine
201 SETON PARKWAY
Round Rock, TX 78665
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
Internal Medicine
8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 338 clinicians in this Medicare group
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
Urgent Care
3195 DOWLEN RD STE 105
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 351 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
232 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
183 services168 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
100 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services75 patients

Hospital Affiliations CMS Care Compare

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

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670080
Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%266 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers93 claims93 services$16.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers93 claims93 services$85.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$16.60 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 20

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

Family Medicine
1402 W AVENUE H
TEMPLE, TX 76504
Psychologist (Clinical)
1402 W AVENUE H
TEMPLE, TX 76504
Family Medicine
1402 W AVENUE H
TEMPLE, TX 76504
Podiatrist
1402 W AVENUE H
TEMPLE, TX 76504
Family Medicine
1402 W AVENUE H
TEMPLE, TX 76504
Family Medicine
1402 W AVENUE H
TEMPLE, TX 76504
Psychologist
1402 W AVENUE H
TEMPLE, TX 76504
Family Medicine
1402 W AVENUE H
TEMPLE, TX 76504

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 Fomby's NPI number?

The NPI number for Elizabeth Fomby is 1306805783. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Elizabeth Fomby located?

Elizabeth Fomby practices at 1402 W Avenue H, Temple, TX 76504. The listed phone number is (254) 771-8411.

What is Elizabeth Fomby's specialty?

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

Is Elizabeth Fomby enrolled in Medicare?

Yes. Elizabeth Fomby 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 Elizabeth Fomby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Fomby reassigns Medicare benefits to 6 organizations: Scott & White Clinic (Temple, TX), Austin Critical Care Specialists PA (Round Rock, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Curana Health Medical Group LLC (Austin, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and 1 more organization, listed in the Medicare section above. 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 Elizabeth Fomby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Fomby accept?

Health plans from Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Elizabeth Fomby 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 Elizabeth Fomby affiliated with any hospitals?

According to CMS data, Elizabeth Fomby is affiliated with Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Elizabeth Fomby was last updated on August 12, 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.