HANY C FOUAD M.D.
NPI 1396799052
Family Medicine in Camarillo, CA

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012(805) 384-8071(805) 987-1927 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Hany C Fouad M.d. NPPES

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

HANY C FOUAD M.D. (NPI 1396799052) is an individual family medicine provider in Camarillo, California, licensed in California (A85094) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1396799052
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHANY C FOUADCredential: M.D.
Location Address5051 VERDUGO WAY, SUITE 110Camarillo, CA 93012
Mailing Address5051 Verdugo Way, Suite 110Camarillo, CA 93012 · (805) 384-8071 · Fax (805) 987-1927
Fax(805) 987-1927
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 31, 2012
NPI 1396799052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A85094
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.
5051 VERDUGO WAY, Camarillo, CA 93012

Other Identifiers 18

Medicare ID-Type UnspecifiedWA85094ECA · Ppin
MedicaidRHM08608FCA
Medicare ID-Type UnspecifiedWA85094JCA · Ppin
Medicare ID-Type UnspecifiedWA85094FCA · Ppin
Other050394CA · Blue Cross
Medicare ID-Type Unspecified058608CA · Rh Medicare
MedicaidRHM08609FCA
MedicaidZZT40394FCA
Medicare ID-Type Unspecified058553CA · Rh Medicare
Medicare ID-Type UnspecifiedWA85094KCA · Ppin
Medicare ID-Type UnspecifiedWA85094ICA · Ppin
Other951683892CA · Other Insurance
Medicare UPINH83597
Medicare ID-Type Unspecified058609CA · Rh Medicare
Medicare ID-Type Unspecified050394CA · Medicare
Medicare ID-Type UnspecifiedWA85094HCA · Ppin
MedicaidRHM18553HCA
Medicare ID-Type UnspecifiedWA85094GCA · Ppin

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

Hany C Fouad 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 ID6103729009
PECOS Enrollment IDI20150319002417
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.

Areas of Expertise CMS Part B claims 17

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
544 services277 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
202 services176 patients
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.
154 services127 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
138 services138 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
130 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
124 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93012 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers55 claims148 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims16 services$0.93 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,800 services$1.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers16 claims16 services$44.57 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers17 claims102 services$1.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.85 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 9

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

Family Medicine
5051 VERDUGO WAY, SUITE 110
CAMARILLO, CA 93012
Nurse Practitioner (Family)
5051 VERDUGO WAY, SUITE 110
CAMARILLO, CA 93012
Family Medicine
5051 VERDUGO WAY, SUITE 100
CAMARILLO, CA 93012
Internal Medicine
5051 VERDUGO WAY, STE 100
CAMARILLO, CA 93012
Internal Medicine
5051 VERDUGO WAY, STE 100
CAMARILLO, CA 93012
Nurse Practitioner (Family)
5051 VERDUGO WAY, SUITE 100
CAMARILLO, CA 93012
Family Medicine
5051 VERDUGO WAY, SUITE 110
CAMARILLO, CA 93012
Internal Medicine
5051 VERDUGO WAY, STE 100
CAMARILLO, CA 93012

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 Hany Fouad's NPI number?

The NPI number for Hany Fouad is 1396799052. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Hany Fouad located?

Hany Fouad practices at 5051 Verdugo Way Suite 110, Camarillo, CA 93012. The listed phone number is (805) 384-8071.

What is Hany Fouad's specialty?

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

Is Hany Fouad enrolled in Medicare?

Yes. Hany Fouad 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.

When was this NPI record last updated?

The NPPES record for Hany Fouad was last updated on August 31, 2012. 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.