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DR. SANDRA FOGELMAN MD
NPI 1548219421
Internal Medicine in Richardson, TX

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
101 S COIT RD STE 317, RICHARDSON, TX 75080(972) 437-9090 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Sandra Fogelman Md NPPES

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

DR. SANDRA FOGELMAN MD (NPI 1548219421) is an individual internal medicine provider in Richardson, Texas, licensed in Pennsylvania (MD050803L) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Allentown, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1548219421
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANDRA FOGELMANCredential: MD
Location Address101 S COIT RD STE 317Richardson, TX 75080-5744
Mailing Address1605 N Cedar Crest Blvd, Suite 110bAllentown, PA 18104-2351 · (610) 973-1410 · Fax (610) 973-1449
Phone(972) 437-9090
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 9, 2006
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1548219421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD050803L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 S COIT RD STE 317, Richardson, TX 75080
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Secondary Practice Location 1

Location 1798 Hausman Rd, Suite 270Allentown, PA 18104-9108 · Phone (610) 871-3400 · Fax (484) 403-4005

Other Identifiers 3

Other50085515Capital Blue Cross
Other110149283PA · Palmetto Rr
Other414873PA · Highmark Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Sandra Fogelman 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 ID8729094289
PECOS Enrollment IDI20210527002550
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 9

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.
98 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
42 services28 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.
27 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES

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

MEGAN WEIS MSN, NP-C
Nurse Practitioner (Adult Health)
101 S COIT RD STE 317
RICHARDSON, TX 75080
Dallas County (972) 437-9090

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 Sandra Fogelman's NPI number?

The NPI number for Sandra Fogelman is 1548219421. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Sandra Fogelman located?

Sandra Fogelman practices at 101 S Coit Rd Ste 317, Richardson, TX 75080. The listed phone number is (972) 437-9090.

What is Sandra Fogelman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandra Fogelman enrolled in Medicare?

Yes. Sandra Fogelman 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 Sandra Fogelman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Sandra Fogelman 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 Sandra Fogelman was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.