MICHAEL PAUL FOGEL PA-C
NPI 1649552225
Physician Assistant in Fredericksburg, VA

Q: What is Michael Fogel's NPI number?

The NPI number for Michael Fogel is 1649552225. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Michael Fogel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fogel was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment

4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408(540) 498-4900 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Paul Fogel Pa-c NPPES

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

MICHAEL PAUL FOGEL PA-C (NPI 1649552225) is an individual physician assistant in Fredericksburg, Virginia, licensed in Virginia (0110003668) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1649552225

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL PAUL FOGELCredential: PA-C

Location Address4600 SPOTSYLVANIA PKWYFredericksburg, VA 22408-7762

Mailing Address4600 Spotsylvania PkwyFredericksburg, VA 22408-7762 · (540) 498-4900

Phone(540) 498-4900

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 9, 2011

Last NPPES UpdateNovember 5, 2024

NPPES CertifiedNovember 5, 2024

✔ NPI 1649552225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in VA · 0110003668✔ Licensed in OH · 50.008112

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4600 SPOTSYLVANIA PKWY, Fredericksburg, VA 22408

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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

Michael Paul Fogel Pa-c 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 ID5193999456

PECOS Enrollment IDI20180307000228, I20230220001226, I20241112003358

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 8

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

90 services90 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

41 services41 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.

31 services30 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

30 services30 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY

OwnershipProprietary

CMS Certification Number180101

Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County

Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson County

Emergency services Birthing friendly

Dlp Swain County Hospital LLC

Critical Access Hospitals · Bryson City, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341305

Location45 Plateau StreetBryson City, NC 28713 · Swain County

Emergency services

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360175

Location610 West Main StreetWilmington, OH 45177 · Clinton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22408 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

SHERIDAN EMERGENCY PHYSICIAN SERVICES OF VIRGINIA, INC

Emergency Medicine