JOHN A FOLEY M.D.
NPI 1326044124
Internal Medicine - Cardiovascular Disease in Norwich, CT

Active since June 27, 2005PECOS Enrolled
84.47/100
CMS Quality Rating
79 WAWECUS ST, NORWICH, CT 06360(860) 886-2679(860) 889-2862 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John A Foley M.d. NPPES

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

JOHN A FOLEY M.D. (NPI 1326044124) is an individual cardiovascular disease provider in Norwich, Connecticut, licensed in Connecticut (036189) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326044124
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN A FOLEYCredential: M.D.
Location Address79 WAWECUS STNorwich, CT 06360-2160
Mailing Address79 Wawecus StNorwich, CT 06360-2160 · (860) 886-2679 · Fax (860) 889-2862
Fax(860) 889-2862
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1326044124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 036189
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
79 WAWECUS ST, Norwich, CT 06360

Other Identifiers 3

Medicare UPING22278CT
Medicare ID-Type Unspecified060001278CT
Medicaid001361899CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John A Foley M.d. 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.

Medicare Billing Reassignments

2

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

Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 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 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Optometrist
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Nurse Practitioner
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE #106
NORWICH, CT 06360
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Ophthalmology
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Internal Medicine (Gastroenterology)
79 WAWECUS ST, SUITE 101
NORWICH, CT 06360
Internal Medicine (Gastroenterology)
79 WAWECUS ST, SUITE 102
NORWICH, CT 06360

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 John Foley's NPI number?

The NPI number for John Foley is 1326044124. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is John Foley located?

John Foley practices at 79 Wawecus St, Norwich, CT 06360. The listed phone number is (860) 886-2679.

What is John Foley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Foley enrolled in Medicare?

Yes. John Foley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Foley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Foley reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). 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 John Foley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Foley was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.