ALEXEY FOMIN M.D., PH.D.
NPI 1700211141
Internal Medicine in Hattiesburg, MS

Active since September 04, 2013PECOS EnrolledAccepts Medicare Assignment
104 MILLSAPS DR, HATTIESBURG, MS 39402(601) 288-7500(601) 268-5179 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2020, Nov 3, 2016 (2 updates tracked since 2016).

About Alexey Fomin M.d., Ph.d. NPPES

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

ALEXEY FOMIN M.D., PH.D. (NPI 1700211141) is an individual internal medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (24153) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1700211141
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALEXEY FOMINCredential: M.D., PH.D.
Location Address104 MILLSAPS DRHattiesburg, MS 39402-1328
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 288-7500 · Fax (601) 579-5240
Fax(601) 268-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 4, 2013
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1700211141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MS · 24153 Licensed in KY · 47117
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.

104 MILLSAPS DR, Hattiesburg, MS 39402

Other Identifiers 1

Medicaid04537068MS

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

Alexey Fomin M.d., Ph.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 ID4385941459
PECOS Enrollment IDI20160405001174
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 21

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
33,280 services11 patients
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
25,400 services19 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
14,760 services203 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
10,350 services16 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
7,560 services19 patients
Injection, rituximab, 10 mg J9312
Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
2,400 services11 patients

Hospital Affiliations CMS Care Compare

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$11.58 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$188.88 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 7

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

Family Medicine
104 MILLSAPS DR
HATTIESBURG, MS 39402
Internal Medicine (Rheumatology)
104 MILLSAPS DR
HATTIESBURG, MS 39402
Internal Medicine (Rheumatology)
104 MILLSAPS DR
HATTIESBURG, MS 39402
Internal Medicine (Rheumatology)
104 MILLSAPS DR
HATTIESBURG, MS 39402
Internal Medicine (Rheumatology)
104 MILLSAPS DR
HATTIESBURG, MS 39402
Internal Medicine (Rheumatology)
104 MILLSAPS DR
HATTIESBURG, MS 39402
Internal Medicine (Rheumatology)
104 MILLSAPS DR
HATTIESBURG, MS 39402

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 Alexey Fomin's NPI number?

The NPI number for Alexey Fomin is 1700211141. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Alexey Fomin located?

Alexey Fomin practices at 104 Millsaps Dr, Hattiesburg, MS 39402. The listed phone number is (601) 288-7500.

What is Alexey Fomin's specialty?

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

Is Alexey Fomin enrolled in Medicare?

Yes. Alexey Fomin 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 Alexey Fomin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Alexey Fomin 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 Alexey Fomin affiliated with any hospitals?

According to CMS data, Alexey Fomin is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Alexey Fomin was last updated on July 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.