BENJAMIN J FOGAL OD
NPI 1730174822
Optometrist - Corneal and Contact Management in Bloomington, MN
About Benjamin J Fogal Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN J FOGAL OD (NPI 1730174822) is an individual corneal and contact management provider in Bloomington, Minnesota, licensed in Minnesota (3019) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin J Fogal Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Fogal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BLOOMINGTON, MN 55431
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 Benjamin Fogal's NPI number?
The NPI number for Benjamin Fogal is 1730174822. It was assigned to this individual provider in the NPPES registry on September 14, 2005.
Where is Benjamin Fogal located?
Benjamin Fogal practices at 9801 Dupont Ave S Ste 200, Bloomington, MN 55431. The listed phone number is (952) 888-5800.
What is Benjamin Fogal's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.
Is Benjamin Fogal enrolled in Medicare?
Yes. Benjamin Fogal 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.
Which organization bills Medicare for Benjamin Fogal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Fogal reassigns Medicare benefits to Minnesota Eye Consultants, PA (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Fogal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Fogal accept?
Health plans from HealthPartners list Benjamin Fogal 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.
When was this NPI record last updated?
The NPPES record for Benjamin Fogal was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.