GEORGE C-C FOGG MD, PHD
NPI 1811901085
Pediatrics - Pediatric Infectious Diseases in Grand Rapids, MI

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
330 BARCLAY AVE NE, SUITE 203, GRAND RAPIDS, MI 49503(616) 391-2313 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George C-c Fogg Md, Phd NPPES

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

GEORGE C-C FOGG MD, PHD (NPI 1811901085) is an individual pediatric infectious diseases provider in Grand Rapids, Michigan, licensed in Michigan (4301078543) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1998).

NPPES Registry Identity

NPI1811901085
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameGEORGE C-C FOGGCredential: MD, PHD
Location Address330 BARCLAY AVE NE, SUITE 203Grand Rapids, MI 49503-2556
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1998
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1811901085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License Licensed in MI · 4301078543
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 4301078543 (MI)
330 BARCLAY AVE NE, Grand Rapids, MI 49503

Other Identifiers 1

Medicaid4627622MI

Accepted Insurance

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

George C-c Fogg Md, Phd 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 ID5991771446
PECOS Enrollment IDI20040907000238
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 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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)
330 BARCLAY AVE NE, SUITE 200
GRAND RAPIDS, MI 49503
Pediatrics
330 BARCLAY AVE NE, SUITE 300
GRAND RAPIDS, MI 49503
Pediatrics
330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503
Audiologist
330 BARCLAY AVE NE, SUITE GL1
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE, STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE, SUITE 102
GRAND RAPIDS, MI 49503
Surgery (Pediatric Surgery)
330 BARCLAY AVE NE, SUITE 202
GRAND RAPIDS, MI 49503
Pediatrics
330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503

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 George Fogg's NPI number?

The NPI number for George Fogg is 1811901085. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is George Fogg located?

George Fogg practices at 330 Barclay Ave NE Suite 203, Grand Rapids, MI 49503. The listed phone number is (616) 391-2313.

What is George Fogg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is George Fogg enrolled in Medicare?

Yes. George 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.

What insurance does George Fogg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list George Fogg 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 George Fogg was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.