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MOHAMED FODA MD
NPI 1689802845
Obstetrics & Gynecology in Gainesville, FL

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
6440 W NEWBERRY RD STE 508, GAINESVILLE, FL 32605(352) 792-6123(352) 792-6138 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Jun 19, 2018, Dec 28, 2015 (3 updates tracked since 2015).

About Mohamed Foda Md NPPES

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

MOHAMED FODA MD (NPI 1689802845) is an individual obstetrics & gynecology provider in Gainesville, Florida, licensed in Florida (ME114110) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and maintains a secondary practice location in Starke.

NPPES Registry Identity

NPI1689802845
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMOHAMED FODACredential: MD
Location Address6440 W NEWBERRY RD STE 508Gainesville, FL 32605-8303
Mailing Address6440 W Newberry Rd Ste 508Gainesville, FL 32605-8303 · (352) 792-6123 · Fax (904) 368-2484
Phone(352) 792-6123
Fax(352) 792-6138
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 26, 2009
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1689802845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME114110
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6440 W NEWBERRY RD STE 508, Gainesville, FL 32605
Open in Google Maps ↗

Secondary Practice Location 1

Location 11550 S Water StStarke, FL 32091-4511 · Phone (904) 368-2489 · Fax (904) 368-2484

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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

Mohamed Foda 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 ID446498018
PECOS Enrollment IDI20130723000523
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

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 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.
18 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
44%79 patients2/55-star benchmark: 93%
Cervical Cancer Screening
78%521 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
40%30 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
33%138 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
73%1,226 patients3/55-star benchmark: 100%
e-Prescribing
98%157 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%483 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%1,092 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 527 patients
Patients screened: 82% · 527 patients
72%61 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%421 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

DONNA BOUCHER M.D.
Obstetrics & Gynecology
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
ABIGAIL S LUNDBERG
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
ANDREA GRAY APRN, CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology (Gynecology)
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
CHRISTINA BENNETT WILEY CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508, SUITE 508
GAINESVILLE, FL 32605
Alachua County (352) 332-7222
KADI NICOLE BORCHERS MSN, CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
SHALICIA SHEMWELL
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
BREE RENEE MOSES APRN CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 331-3332

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 Mohamed Foda's NPI number?

The NPI number for Mohamed Foda is 1689802845. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Mohamed Foda located?

Mohamed Foda practices at 6440 W Newberry Rd Ste 508, Gainesville, FL 32605. The listed phone number is (352) 792-6123.

What is Mohamed Foda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mohamed Foda enrolled in Medicare?

Yes. Mohamed Foda 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 Mohamed Foda accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Mohamed Foda 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 Mohamed Foda affiliated with any hospitals?

According to CMS data, Mohamed Foda is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Foda was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.