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DR. MICHAEL J FOGGIA II D.O.
NPI 1417972084
Family Medicine in Vinton, IA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
88.63/100
CMS Quality Rating
504 N 9TH AVE, VINTON, IA 52349(319) 472-6300(319) 472-6340 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael J Foggia Ii D.o. NPPES

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

DR. MICHAEL J FOGGIA II D.O. (NPI 1417972084) is an individual family medicine provider in Vinton, Iowa, licensed in Iowa (03051) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Virginia Gay Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1994).

NPPES Registry Identity

NPI1417972084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL J FOGGIA IICredential: D.O.
Location Address504 N 9TH AVEVinton, IA 52349-2254
Mailing Address1509 Nw Calista StGrimes, IA 50111-1200 · (515) 262-0404 · Fax (515) 262-0489
Phone(319) 472-6300
Fax(319) 472-6340
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1994
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1417972084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 03051
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.
504 N 9TH AVE, Vinton, IA 52349
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Other Identifiers 3

Other5N313AR · Ar Bcbs
Medicaid158297003AR
Medicaid200059120AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. Michael J Foggia Ii D.o. 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 ID6608766522
PECOS Enrollment IDI20240730000719
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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Virginia Gay Hospital

Critical Access Hospitals · Vinton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161349
Location502 North 9th AvenueVinton, IA 52349 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52349 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

88.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.38
Promoting Interoperability100
Improvement Activities40
Cost67.07

Other Providers at the Same Location NPPES 10

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

MARGARET K MANGOLD M.D.
Family Medicine
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
EMILY ANN FLEXSENHAR ARNP
Nurse Practitioner (Family)
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
BRIAN W MEEKER D.O.
Family Medicine
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
ELIZABETH ANNALEE HUNT
Nurse Practitioner (Psychiatric/Mental Health)
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
VIRGINIA GAY HOSPITAL, INC
Clinic/Center (Rural Health)
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
ALISON LAGRANGE ARNP
Nurse Practitioner
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
SAMANTHA J JIRAK DNP
Nurse Practitioner (Family)
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300
MICHELLE ELGIN D.O.
Family Medicine
504 N 9TH AVE
VINTON, IA 52349
Benton County (319) 472-6300

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 Michael Foggia's NPI number?

The NPI number for Michael Foggia is 1417972084. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Michael Foggia located?

Michael Foggia practices at 504 N 9th Ave, Vinton, IA 52349. The listed phone number is (319) 472-6300.

What is Michael Foggia's specialty?

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

Is Michael Foggia enrolled in Medicare?

Yes. Michael Foggia 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 Michael Foggia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Michael Foggia 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 Michael Foggia affiliated with any hospitals?

According to CMS data, Michael Foggia is affiliated with Virginia Gay Hospital.

When was this NPI record last updated?

The NPPES record for Michael Foggia was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.