DR. LISA MARIE FOGLIA MD
NPI 1346207040
Obstetrics & Gynecology - Maternal & Fetal Medicine in Asheville, NC

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 259-5110(828) 771-5479 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2023, Nov 15, 2022 (2 updates tracked since 2022).

About Dr. Lisa Marie Foglia Md NPPES

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

DR. LISA MARIE FOGLIA MD (NPI 1346207040) is an individual maternal & fetal medicine provider in Asheville, North Carolina, licensed in North Carolina (2020-00143) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1998).

NPPES Registry Identity

NPI1346207040
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. LISA MARIE FOGLIACredential: MD
Location Address119 HENDERSONVILLE RDAsheville, NC 28803-2868
Mailing Address119 Hendersonville RdAsheville, NC 28803-2868
Fax(828) 771-5479
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1998
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1346207040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NC · 2020-00143
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2020-00143 (NC), MD00039013 (WA)
119 HENDERSONVILLE RD, Asheville, NC 28803

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. Lisa Marie Foglia 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 ID5294918546
PECOS Enrollment IDI20221130002789
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 Reassignment

Medicare enrollment records show Lisa Foglia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
119 HENDERSONVILLE RD
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 215 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 28803 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Obstetrics & Gynecology
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Advanced Practice Midwife
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Social Worker (Clinical)
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Advanced Practice Midwife
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Obstetrics & Gynecology
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Advanced Practice Midwife
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Obstetrics & Gynecology
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803

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 Lisa Foglia's NPI number?

The NPI number for Lisa Foglia is 1346207040. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Lisa Foglia located?

Lisa Foglia practices at 119 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 259-5110.

What is Lisa Foglia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Lisa Foglia enrolled in Medicare?

Yes. Lisa Foglia 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 organization bills Medicare for Lisa Foglia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Foglia reassigns Medicare benefits to Mountain Area Health Education Center, Inc. (Asheville, NC). The 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 Lisa Foglia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Foglia accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lisa Foglia 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 Lisa Foglia was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.