CAROL A FOSTER M.D.
NPI 1407838790
Psychiatry & Neurology - Neurology in Englewood, CO

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
499 E HAMPDEN AVE STE 360, ENGLEWOOD, CO 80113(303) 781-4485(720) 274-0064 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, May 5, 2020 (2 updates tracked since 2020).

About Carol A Foster M.d. NPPES

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

CAROL A FOSTER M.D. (NPI 1407838790) is an individual neurology provider in Englewood, Colorado, licensed in Colorado (DR.0063916) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (1985).

NPPES Registry Identity

NPI1407838790
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCAROL A FOSTERCredential: M.D.
Location Address499 E HAMPDEN AVE STE 360Englewood, CO 80113-3877
Mailing Address7725 W Reno Ave Ste 150Oklahoma City, OK 73127-9712 · (405) 682-3303 · Fax (405) 384-6793
Fax(720) 274-0064
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1985
Enumeration DateNovember 14, 2005
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1407838790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CO · DR.0063916
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
499 E HAMPDEN AVE STE 360, Englewood, CO 80113

Other Identifiers 2

Medicaid9000182608CO
Medicaid3810015606WV

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

Carol A Foster 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 ID4385696319
PECOS Enrollment IDI20200511003142
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 11

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,600 services11 patients
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.
87 services48 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.
39 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services22 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80113 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Physician Assistant (Medical)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Nurse Practitioner (Acute Care)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113
Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE STE 360
ENGLEWOOD, CO 80113

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 Carol Foster's NPI number?

The NPI number for Carol Foster is 1407838790. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Carol Foster located?

Carol Foster practices at 499 E Hampden Ave Ste 360, Englewood, CO 80113. The listed phone number is (303) 781-4485.

What is Carol Foster's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Carol Foster enrolled in Medicare?

Yes. Carol Foster 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 Carol Foster accept?

Health plans from Medica and UnitedHealthcare list Carol Foster 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 Carol Foster was last updated on September 15, 2020. 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.