DR. ELI FOUERTE D.O
NPI 1588022818
Internal Medicine in West Burlington, IA

Active since February 01, 2016PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1221 S GEAR AVE, WEST BURLINGTON, IA 52655(646) 206-4836 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2016, Feb 1, 2016 (2 updates tracked since 2016).

About Dr. Eli Fouerte D.o NPPES

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

DR. ELI FOUERTE D.O (NPI 1588022818) is an individual internal medicine provider in West Burlington, Iowa, licensed in New Jersey (25MB09928100) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1588022818
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ELI FOUERTECredential: D.O
Location Address1221 S GEAR AVEWest Burlington, IA 52655-1679
Mailing Address2351 E 4th StBrooklyn, NY 11223-5425 · (646) 206-4836
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2013
Enumeration DateFebruary 1, 2016
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
NPI 1588022818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NJ · 25MB09928100 Licensed in IA · DO-04850
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.
Also ListedHospitalistTaxonomy 208M00000X · License DO-04850 (IA)
1221 S GEAR AVE, West Burlington, IA 52655

Secondary Practice Location 1

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-6414 · Fax (908) 598-2337

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

Dr. Eli Fouerte 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 ID6103110721
PECOS Enrollment IDI20240226000059
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
486 services475 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
240 services234 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$111.16 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 20

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

Psychiatry & Neurology (Psychosomatic Medicine)
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Anesthesiology
1221 S GEAR AVE
W BURLINGTON, IA 52655
Physician Assistant
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Hospitalist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Occupational Therapist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655

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 Eli Fouerte's NPI number?

The NPI number for Eli Fouerte is 1588022818. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Eli Fouerte located?

Eli Fouerte practices at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (646) 206-4836.

What is Eli Fouerte's specialty?

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

Is Eli Fouerte enrolled in Medicare?

Yes. Eli Fouerte 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 Eli Fouerte accept?

Health plans from Medica list Eli Fouerte 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 Eli Fouerte affiliated with any hospitals?

According to CMS data, Eli Fouerte is affiliated with Valley Hospital and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Eli Fouerte was last updated on February 29, 2024. 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.