DR. JOHN GREGG FOZARD M.D.
NPI 1689646127
Family Medicine in Pinckneyville, IL

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274(618) 357-2131(618) 357-3411 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2023, Dec 30, 2020, Jan 26, 2016 (3 updates tracked since 2016).

About Dr. John Gregg Fozard M.d. NPPES

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

DR. JOHN GREGG FOZARD M.D. (NPI 1689646127) is an individual family medicine provider in Pinckneyville, Illinois, licensed in Illinois (036053225) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Pinckneyville Community Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1975).

NPPES Registry Identity

NPI1689646127
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN GREGG FOZARDCredential: M.D.
Location Address5383 STATE ROUTE 154Pinckneyville, IL 62274-3342
Mailing Address5383 State Route 154, Po Box 437Pinckneyville, IL 62274-3342 · (618) 357-2131 · Fax (618) 357-3411
Fax(618) 357-3411
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1975
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1689646127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036053225
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5383 STATE ROUTE 154, Pinckneyville, IL 62274

Other Identifiers 7

Other7320380IL · Bcbs Fmc Group Provider #
Other080174912IL · Medicare Railroad
Medicaid036053225IL
Other2288028IL · United Healthcare Id
Other0027340080IL · Bcbs Phys Provider #
Other034761IL · Health Alliance Id
Other122435IL · Healthlink Provider Id

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. John Gregg Fozard M.d. 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 ID2860521432
PECOS Enrollment IDI20100520000644
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.

Hospital Affiliations CMS Care Compare 2

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

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141307
Location5383 State Route 154Pinckneyville, IL 62274 · Perry County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62274 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers47 claims142 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims44 services$1.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers30 claims30 services$43.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers19 claims20 services$112.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims47 services$43.81 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers19 claims113 services$23.37 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 18

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

General Acute Care Hospital (Critical Access)
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274
Clinic/Center (Rural Health)
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274
General Acute Care Hospital (Critical Access)
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274
Pharmacy
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274
Family Medicine
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274
Nurse Practitioner (Family)
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274
Nurse Practitioner (Family)
5383 STATE ROUTE 154, FAMILY MEDICAL CENTER
PINCKNEYVILLE, IL 62274
Nurse Practitioner (Family)
5383 STATE ROUTE 154
PINCKNEYVILLE, IL 62274

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689646127, enumerated as an "individual" on February 07, 2006.

The provider is located at 5383 STATE ROUTE 154 PINCKNEYVILLE, IL 62274 and the phone number is (618) 357-2131.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.

John Fozard is affiliated with: PINCKNEYVILLE COMMUNITY HOSPITAL and SPARTA COMMUNITY HOSPITAL.