ERIN S FOGEL M.D.
NPI 1417941808
Ophthalmology in Concord, NH

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
97.89/100
CMS Quality Rating
2 PILLSBURY ST STE 100, CONCORD, NH 03301(603) 228-1104(603) 228-7061 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erin S Fogel M.d. NPPES

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

ERIN S FOGEL M.D. (NPI 1417941808) is an individual ophthalmology provider in Concord, New Hampshire, licensed in New Hampshire (9218) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Vanderbilt University School Of Medicine (1988).

NPPES Registry Identity

NPI1417941808
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameERIN S FOGELCredential: M.D.
Location Address2 PILLSBURY ST STE 100Concord, NH 03301-3502
Mailing Address2 Pillsbury St Ste 100Concord, NH 03301-3502 · (603) 228-1104 · Fax (603) 228-7061
Fax(603) 228-7061
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1988
Enumeration DateAugust 31, 2005
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
NPI 1417941808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NH · 9218
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 9218 (NH)
2 PILLSBURY ST STE 100, Concord, NH 03301

Other Identifiers 4

Other0109730Y0NH01NH · Anthem Nh
Other180023894NH · 180023894
Medicaid300007003NH
Other9666977001NH · 9666977001

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

Erin S Fogel 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 ID4082632328
PECOS Enrollment IDI20051105000088
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 19

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 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.
526 services308 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
443 services439 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
398 services222 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.
354 services325 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
335 services245 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
159 services125 patients

Hospital Affiliations CMS Care Compare

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

97.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.78
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%180 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers21 claims21 services$53.01 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers17 claims29 services$30.25 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 13

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

Ophthalmology
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Ophthalmology
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Optometrist (Corneal and Contact Management)
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Ophthalmology
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Optometrist
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Ophthalmology (Glaucoma Specialist)
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Ophthalmology
2 PILLSBURY ST STE 100
CONCORD, NH 03301
Technician/Technologist (Optician)
2 PILLSBURY ST STE 100
CONCORD, NH 03301

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 Erin Fogel's NPI number?

The NPI number for Erin Fogel is 1417941808. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Erin Fogel located?

Erin Fogel practices at 2 Pillsbury St Ste 100, Concord, NH 03301. The listed phone number is (603) 228-1104.

What is Erin Fogel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Erin Fogel enrolled in Medicare?

Yes. Erin Fogel 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 Erin Fogel accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Erin Fogel 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 Erin Fogel affiliated with any hospitals?

According to CMS data, Erin Fogel is affiliated with Concord Hospital.

When was this NPI record last updated?

The NPPES record for Erin Fogel was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.