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DR. JACQUELINE MARY FOGARTY M.D.
NPI 1821051525
Orthopaedic Surgery in South Boston, VA

Active since April 11, 2006PECOS Enrolled
73.9/100
CMS Quality Rating
409 OAK LN, SOUTH BOSTON, VA 24592(434) 572-8300(434) 572-1659 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jacqueline Mary Fogarty M.d. NPPES

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

DR. JACQUELINE MARY FOGARTY M.D. (NPI 1821051525) is an individual orthopaedic surgery provider in South Boston, Virginia, licensed in Virginia (0101035912) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821051525
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. JACQUELINE MARY FOGARTYCredential: M.D.
Location Address409 OAK LNSouth Boston, VA 24592-1633
Mailing Address409 Oak LnSouth Boston, VA 24592-1633 · (434) 572-8300 · Fax (434) 572-1659
Phone(434) 572-8300
Fax(434) 572-1659
Sole ProprietorYes
Enumeration DateApril 11, 2006
Last NPPES UpdateNovember 18, 2010
✔ NPI 1821051525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in VA · 0101035912
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
409 OAK LN, South Boston, VA 24592
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Other Names 1

Professional Name (2)Dr. Jacqueline Mary Fogarty Jacqueline Fogarty

Other Identifiers 5

Other078069VA · Anthem
Other200019809VA · Railroad Medicare
Medicare UPINB10196VA
Medicare ID-Type Unspecified200000704VA
Medicaid6401767VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Mary Fogarty M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Fogarty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dominion Health Medical Assoc
0.1 mi
Cardiovascular Disease
2204 WILBORN AVE
South Boston, VA 24592
  • Reassigned Medicare billing, Virginia enrollment
  • 82 clinicians in this Medicare group
NPI 1356138879 (434) 517-3250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

73.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.64
Promoting Interoperability100
Improvement Activities0
Cost93.38

Other Providers at the Same Location NPPES

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

JACQUELINE M FOGARTY MD PC
Orthopaedic Surgery
409 OAK LN
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8300

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 Jacqueline Fogarty's NPI number?

The NPI number for Jacqueline Fogarty is 1821051525. It was assigned to this individual provider in the NPPES registry on April 11, 2006. The provider is also known as Dr. Jacqueline Mary Fogarty Jacqueline Fogarty.

Where is Jacqueline Fogarty located?

Jacqueline Fogarty practices at 409 Oak Ln, South Boston, VA 24592. The listed phone number is (434) 572-8300.

What is Jacqueline Fogarty's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jacqueline Fogarty enrolled in Medicare?

Yes. Jacqueline Fogarty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Fogarty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Fogarty reassigns Medicare benefits to Dominion Health Medical Assoc (South Boston, VA). 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 Jacqueline Fogarty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Fogarty was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.