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KEVIN FOLEY MD
NPI 1750335865
Internal Medicine in East Lansing, MI

Active since May 22, 2006PECOS Enrolled
804 SERVICE RD, A142, EAST LANSING, MI 48824(517) 353-3050(517) 432-3742 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Foley Md NPPES

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

KEVIN FOLEY MD (NPI 1750335865) is an individual internal medicine provider in East Lansing, Michigan, licensed in Michigan (4301407077) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750335865
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN FOLEYCredential: MD
Location Address804 SERVICE RD, A142East Lansing, MI 48824-7015
Mailing Address804 Service Rd, A201East Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Phone(517) 353-3050
Fax(517) 432-3742
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 12, 2016
✔ NPI 1750335865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301407077
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.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 4301407077 (MI)
804 SERVICE RD, East Lansing, MI 48824
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Other Identifiers 12

Medicaid4375006MI
Medicaid4437065MI
Medicaid4877877MI
Medicare UPINE80249MI
Medicaid4587492MI
Medicaid4877376MI
Medicaid4540413MI
Medicaid4568970MI
Medicare PINP32930156
Medicare PIN0C36088105MI
Medicaid1750335865MI
Medicaid4879076MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Foley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services24 patients
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.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
26%98 patients2/55-star benchmark: 95%
Dementia: Cognitive Assessment
Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
79%109 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%749 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%586 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%280 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%567 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%583 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 88% · 142 patients
84%142 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%567 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
23%567 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%567 patients
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 20

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

MS. APRIL PAULETTE MORRIS NP
Nurse Practitioner (Adult Health)
804 SERVICE RD, A217
EAST LANSING, MI 48824
Ingham County (517) 353-8122
DR. ROBIN HAZARD DEMUTH MD
Family Medicine
804 SERVICE RD, SUITE A142
EAST LANSING, MI 48824
Ingham County (517) 353-3050
ASHWEENA GONUGUNTLA MD
Pediatrics
804 SERVICE RD, SUITE A110
EAST LANSING, MI 48824
Ingham County (517) 353-3003
DR. HENRY CHARLES BARRY M.D.
Family Medicine
804 SERVICE RD, ROOM A142
EAST LANSING, MI 48824
Ingham County (517) 353-3050
AMY JANE KEENUM DO, PHARMD
Family Medicine
804 SERVICE RD, A235
EAST LANSING, MI 48824
Ingham County (517) 355-1300
AHSAN SATTAR M.D.
Psychiatry & Neurology (Neurology)
804 SERVICE RD, A217
EAST LANSING, MI 48824
Ingham County (517) 353-8122
OMAR ALBANYAN M.D.
Internal Medicine
804 SERVICE RD, A225 CLINICAL CENTER
EAST LANSING, MI 48824
Ingham County (517) 353-4941
DR. ROSEMARIE T TOLSON D.O.
Family Medicine
804 SERVICE RD, SUITE A109
EAST LANSING, MI 48824
Ingham County (517) 355-1300

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 Kevin Foley's NPI number?

The NPI number for Kevin Foley is 1750335865. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Kevin Foley located?

Kevin Foley practices at 804 Service Rd A142, East Lansing, MI 48824. The listed phone number is (517) 353-3050.

What is Kevin Foley's specialty?

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

Is Kevin Foley enrolled in Medicare?

Yes. Kevin Foley is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Foley accept?

Health plans from McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Kevin Foley 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 Kevin Foley was last updated on July 12, 2016. 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.