KACEY LYNN FOGG PA-C
NPI 1700212842
Physician Assistant - Medical in Baltimore, MD

Active since September 20, 2013PECOS EnrolledAccepts Medicare Assignment
345 SAINT PAUL PL, BALTIMORE, MD 21202(410) 332-9000 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kacey Lynn Fogg Pa-c NPPES

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

KACEY LYNN FOGG PA-C (NPI 1700212842) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C05221) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1700212842
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKACEY LYNN FOGGCredential: PA-C
Location Address345 SAINT PAUL PLBaltimore, MD 21202-2123
Mailing Address345 St.paul PlaceBaltimore, MD 21202-6502 · (410) 332-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 20, 2013
Last NPPES UpdateAugust 31, 2015
NPI 1700212842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C05221
345 SAINT PAUL PL, Baltimore, MD 21202

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

Kacey Lynn Fogg 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 ID1850527649
PECOS Enrollment IDI20131127000604
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.

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Neurology)
345 SAINT PAUL PL
BALTIMORE, MD 21202
Physician Assistant (Medical)
345 SAINT PAUL PL
BALTIMORE, MD 21202
Nurse Practitioner (Family)
345 SAINT PAUL PL, CENTER FOR ADVANCED FETAL CARE
BALTIMORE, MD 21202
Physician Assistant
345 SAINT PAUL PL
BALTIMORE, MD 21202
Rehabilitation Hospital
345 SAINT PAUL PL
BALTIMORE, MD 21202

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 Kacey Fogg's NPI number?

The NPI number for Kacey Fogg is 1700212842. It was assigned to this individual provider in the NPPES registry on September 20, 2013.

Where is Kacey Fogg located?

Kacey Fogg practices at 345 Saint Paul Pl, Baltimore, MD 21202. The listed phone number is (410) 332-9000.

What is Kacey Fogg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kacey Fogg enrolled in Medicare?

Yes. Kacey Fogg 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.

When was this NPI record last updated?

The NPPES record for Kacey Fogg was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.