DR. ELISHA M FOG OD
NPI 1487331351
Optometrist in Seattle, WA
About Dr. Elisha M Fog Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELISHA M FOG OD (NPI 1487331351) is an individual optometrist in Seattle, Washington, licensed in Washington (OD61562432) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Pacific University - College Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Elisha M Fog Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Elisha Fog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elisha Fog's NPI number?
The NPI number for Elisha Fog is 1487331351. It was assigned to this individual provider in the NPPES registry on June 30, 2023.
Where is Elisha Fog located?
Elisha Fog practices at 677 S Jackson St, Seattle, WA 98104. The listed phone number is (206) 623-1100.
What is Elisha Fog's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Elisha Fog enrolled in Medicare?
Yes. Elisha Fog 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.
Which organization bills Medicare for Elisha Fog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elisha Fog reassigns Medicare benefits to Seattle Vision Clinic Inc (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elisha Fog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elisha Fog accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Elisha Fog 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 Elisha Fog was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Dr. Elisha M Fog, OD · NPI 1487331351
Optometrist provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since June 30, 2023.
## Identity
- **NPI:** 1487331351 (Entity type: Individual)
- **Enumerated:** June 30, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD61562432 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 677 S JACKSON ST, Seattle, WA 98104-2928
- **Phone:** (206) 623-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Seattle Vision Clinic Inc (NPI 1518955202, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2024
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487331351) · Data from the CMS NPPES public registry.