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DR. EDWARD N FOXHALL MD
NPI 1467548610
Surgery in Gainesville, GA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1075B JESSE JEWELL PARKWAY, GAINESVILLE, GA 30501(770) 536-5733(770) 531-0754 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2021, Dec 9, 2015 (2 updates tracked since 2015).

About Dr. Edward N Foxhall Md NPPES

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

DR. EDWARD N FOXHALL MD (NPI 1467548610) is an individual surgery provider in Gainesville, Georgia, licensed in Georgia (066786) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1467548610
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. EDWARD N FOXHALLCredential: MD
Location Address1075B JESSE JEWELL PARKWAYGainesville, GA 30501-3814
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 536-5733
Fax(770) 531-0754
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1467548610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 066786✔ Licensed in AL · 00016198
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1075B JESSE JEWELL PARKWAY, Gainesville, GA 30501
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Other Identifiers 1

Medicaid529903680AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. Edward N Foxhall Md 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 ID4587611686
PECOS Enrollment IDI20111005000926
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 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.
35 services34 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
16 services16 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
15 services15 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

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 Edward Foxhall's NPI number?

The NPI number for Edward Foxhall is 1467548610. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Edward Foxhall located?

Edward Foxhall practices at 1075B Jesse Jewell Parkway, Gainesville, GA 30501. The listed phone number is (770) 536-5733.

What is Edward Foxhall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edward Foxhall enrolled in Medicare?

Yes. Edward Foxhall 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 Edward Foxhall accept?

Health plans from Alliant Health Plans, Inc. list Edward Foxhall 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 Edward Foxhall affiliated with any hospitals?

According to CMS data, Edward Foxhall is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Edward Foxhall was last updated on January 29, 2021. 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.