DONALD L FOSTER RN,APRN,ACNP
NPI 1811363286
Nurse Practitioner - Acute Care in Houston, TX

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
69.09/100
CMS Quality Rating
5115 FANNIN ST STE 801, HOUSTON, TX 77004(713) 790-0841(713) 790-9663 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Oct 24, 2023, Sep 30, 2021 and 1 more (4 updates tracked since 2020).

About Donald L Foster Rn,aprn,acnp NPPES

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

DONALD L FOSTER RN,APRN,ACNP (NPI 1811363286) is an individual acute care provider in Houston, Texas, licensed in Texas (AP128757) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1811363286
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDONALD L FOSTERCredential: RN,APRN,ACNP
Location Address5115 FANNIN ST STE 801Houston, TX 77004-5870
Mailing Address5115 Fannin St Ste 801Houston, TX 77004-5870 · (713) 790-0841 · Fax (713) 790-9663
Fax(713) 790-9663
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 19, 2015
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1811363286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP128757
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 680853 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP128757 (TX)
5115 FANNIN ST STE 801, Houston, TX 77004

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

Donald L Foster Rn,aprn,acnp 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 ID6507143393
PECOS Enrollment IDI20170504000235
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Donald Foster reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5115 FANNIN ST STE 801
Houston, TX 77004
  • Reassigned Medicare billing, Texas enrollment
  • 96 clinicians in this Medicare group
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 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 4

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.

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.
312 services272 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
197 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services66 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

69.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.69
Promoting Interoperability87
Improvement Activities40
Cost44.1

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.

Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Interventional Cardiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Clinical Cardiac Electrophysiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004

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 Donald Foster's NPI number?

The NPI number for Donald Foster is 1811363286. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Donald Foster located?

Donald Foster practices at 5115 Fannin St Ste 801, Houston, TX 77004. The listed phone number is (713) 790-0841.

What is Donald Foster's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Donald Foster enrolled in Medicare?

Yes. Donald Foster 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 organizations bill Medicare for Donald Foster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Foster reassigns Medicare benefits to 3 organizations: Houston Cardiovascular Assoc PA (Houston, TX), Tmh Physician Associates PLLC (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). Each 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 Donald Foster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Foster accept?

Health plans from UnitedHealthcare list Donald Foster 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 Donald Foster affiliated with any hospitals?

According to CMS data, Donald Foster is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Donald Foster was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.