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DR. HENRY FOOKS JR. M.D.
NPI 1356394415
Urology in Athens, OH

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
224 COLUMBUS RD, ATHENS, OH 45701(740) 589-3100(740) 589-3132 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2022, Jan 6, 2021, Oct 18, 2020 (3 updates tracked since 2020).

About Dr. Henry Fooks Jr. M.d. NPPES

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

DR. HENRY FOOKS JR. M.D. (NPI 1356394415) is an individual urology provider in Athens, Ohio, licensed in Ohio (35-08-7648) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Davis Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1983).

NPPES Registry Identity

NPI1356394415
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. HENRY FOOKS JR.Credential: M.D.
Location Address224 COLUMBUS RDAthens, OH 45701-1334
Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5890 · Fax (740) 446-5532
Phone(740) 589-3100
Fax(740) 589-3132
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1983
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 15, 20223 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1356394415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35-08-7648
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
224 COLUMBUS RD, Athens, OH 45701
Open in Google Maps ↗

Other Identifiers 7

Medicaid2662622OH
Other000000439218Anthem Bcbs
OtherP00373066Rr Medicare
Other001870161Mountain State Bcbs
Other1356394415Npi
Medicaid3810005680WV
Other578765499OH · Tri Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Henry Fooks Jr. 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 ID9234131012
PECOS Enrollment IDI20081216000018
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.

Hospital Affiliations CMS Care Compare

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

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers21 claims4,920 services$1.39 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.

JONNETTE ANDREA FROST CDCA
Counselor (Addiction (Substance Use Disorder))
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6724
MARY TAYLOR
Licensed Practical Nurse
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6720
JESSICA HICKS
Licensed Practical Nurse
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6724
ARICA BLACKWELL-SMITH CDCA
Counselor (Addiction (Substance Use Disorder))
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6724
CRYSTAL DOWNARD
Registered Nurse
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6720
DONALD R MCGUIRE LPN
Licensed Practical Nurse
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6724
ANGELIQUE JUDSON CDCA
Counselor (Addiction (Substance Use Disorder))
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6724
LINDA L HOLLEY LSW
Social Worker
224 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 592-6720

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 Henry Fooks's NPI number?

The NPI number for Henry Fooks is 1356394415. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Henry Fooks located?

Henry Fooks practices at 224 Columbus Rd, Athens, OH 45701. The listed phone number is (740) 589-3100.

What is Henry Fooks's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Henry Fooks enrolled in Medicare?

Yes. Henry Fooks 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.

What insurance does Henry Fooks accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Henry Fooks 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 Henry Fooks affiliated with any hospitals?

According to CMS data, Henry Fooks is affiliated with Davis Medical Center.

When was this NPI record last updated?

The NPPES record for Henry Fooks was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.