PAUL J FOLEY III MD
NPI 1326191768
Surgery - Vascular Surgery in Doylestown, PA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
599 W STATE ST STE 302, DOYLESTOWN, PA 18901(215) 230-6982(215) 230-6983 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2021, Apr 21, 2020 (2 updates tracked since 2020).

About Paul J Foley Iii Md NPPES

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

PAUL J FOLEY III MD (NPI 1326191768) is an individual vascular surgery provider in Doylestown, Pennsylvania, licensed in Pennsylvania (MD425590) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Grand View Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326191768
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NamePAUL J FOLEY IIICredential: MD
Location Address599 W STATE ST STE 302Doylestown, PA 18901-2567
Mailing AddressPo Box 829641Philadelphia, PA 19182-0001 · (672) 370-5295 · Fax (215) 230-3725
Fax(215) 230-6983
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2002
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1326191768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MD425590
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
599 W STATE ST STE 302, Doylestown, PA 18901

Secondary Practice Locations 3

Location 13400 Spruce Street, 4 SilversteinPhiladelphia, PA 19104 · Phone (215) 615-4949
Location 22 Capital Way Ste 356Pennington, NJ 08534-2521 · Phone (609) 537-6000 · Fax (609) 537-6002
Location 32 Capital Way Ste 456Pennington, NJ 08534-2521 · Phone (609) 537-7300 · Fax (609) 537-7302

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

Paul J Foley Iii 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 ID5092961649
PECOS Enrollment IDI20131217000071, I20200330002809
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

5

Medicare enrollment records show Paul Foley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Vascular Surgery
599 W STATE ST STE 302
Doylestown, PA 18901
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 2 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
595 W STATE ST STE 207
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 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 30

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
277 services239 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
221 services213 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
217 services204 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
215 services203 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
69 services69 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
66 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 9

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

Surgery (Vascular Surgery)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Nurse Practitioner (Adult Health)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Nurse Practitioner (Family)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Nurse Practitioner (Family)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901

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 Paul Foley's NPI number?

The NPI number for Paul Foley is 1326191768. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Paul Foley located?

Paul Foley practices at 599 W State St Ste 302, Doylestown, PA 18901. The listed phone number is (215) 230-6982.

What is Paul Foley's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Paul Foley enrolled in Medicare?

Yes. Paul Foley 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 Paul Foley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Foley reassigns Medicare benefits to 5 organizations: Via Affiliates (Doylestown, PA), University Of Penn - Medical Group (Doylestown, PA), Clinical Specialty Associates (Doylestown, PA), Capital Health Medical Group (Trenton, NJ) and Capital Health Multispecialty Group (Trenton, NJ). 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 Paul Foley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Foley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Paul Foley 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 Paul Foley affiliated with any hospitals?

According to CMS data, Paul Foley is affiliated with Grand View Health, Holy Redeemer Hospital And Medical Center, Hospital Of Univ Of Pennsylvania, Doylestown Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Foley was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.