MR. MITCHELL JOHN FOGAL PA-C
NPI 1407101538
Physician Assistant in Holland, MI

Active since July 15, 2012PECOS EnrolledAccepts Medicare Assignment
370 N 120TH AVE STE 20, HOLLAND, MI 49424(616) 396-5855(877) 592-0688 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mitchell John Fogal Pa-c NPPES

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

MR. MITCHELL JOHN FOGAL PA-C (NPI 1407101538) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601011747) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407101538
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MITCHELL JOHN FOGALCredential: PA-C
Location Address370 N 120TH AVE STE 20Holland, MI 49424-2196
Mailing Address370 N 120th Ave Ste 20Holland, MI 49424-2196 · (616) 396-5855 · Fax (877) 592-0688
Fax(877) 592-0688
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 15, 2012
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
NPI 1407101538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011747
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
370 N 120TH AVE STE 20, Holland, MI 49424

Accepted 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

Mr. Mitchell John Fogal Pa-c 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 ID2567613904
PECOS Enrollment IDI20230727000529
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

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier37 claims37 services$64.71 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 2

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

Physician Assistant
370 N 120TH AVE STE 20
HOLLAND, MI 49424
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
370 N 120TH AVE STE 20
HOLLAND, MI 49424

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 Mitchell Fogal's NPI number?

The NPI number for Mitchell Fogal is 1407101538. It was assigned to this individual provider in the NPPES registry on July 15, 2012.

Where is Mitchell Fogal located?

Mitchell Fogal practices at 370 N 120th Ave Ste 20, Holland, MI 49424. The listed phone number is (616) 396-5855.

What is Mitchell Fogal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mitchell Fogal enrolled in Medicare?

Yes. Mitchell Fogal 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 Mitchell Fogal accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mitchell Fogal 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 Mitchell Fogal affiliated with any hospitals?

According to CMS data, Mitchell Fogal is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Mitchell Fogal was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.