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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL PATRICK FOGARTY D.D.S.
NPI 1790760510
Dentist in Staten Island, NY

Active since December 14, 2005Opted out of Medicare · through Sep 24, 2027
1011 RICHMOND RD, STATEN ISLAND, NY 10304(718) 981-1800 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Patrick Fogarty D.d.s. NPPES

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

DR. MICHAEL PATRICK FOGARTY D.D.S. (NPI 1790760510) is an individual dentist in Staten Island, New York, licensed in New York (051577) and active in the NPI registry since December 2005. He has opted out of Medicare through September 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790760510
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL PATRICK FOGARTYCredential: D.D.S.
Location Address1011 RICHMOND RDStaten Island, NY 10304-2413
Mailing Address26 Lonsdale DrSouth Plainfield, NJ 07080-2128 · (908) 753-8266
Phone(718) 981-1800
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790760510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 051577
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1011 RICHMOND RD, Staten Island, NY 10304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Patrick Fogarty D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2015 through September 24, 2027.

Opt-Out Effective DateSeptember 24, 2015
Opt-Out In Effect ThroughSeptember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10304 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

STEVEN RATNER,P.C.
Clinic/Center (Dental)
1011 RICHMOND RD
STATEN ISLAND, NY 10304
Richmond County (718) 981-1800

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 Michael Fogarty's NPI number?

The NPI number for Michael Fogarty is 1790760510. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Michael Fogarty located?

Michael Fogarty practices at 1011 Richmond Rd, Staten Island, NY 10304. The listed phone number is (718) 981-1800.

What is Michael Fogarty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Fogarty enrolled in Medicare?

No. Michael Fogarty has opted out of Medicare through September 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Fogarty was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.