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MR. ROBERT P FOGOLIN MD
NPI 1831153147
Orthopaedic Surgery in Hendersonville, TN

Active since April 13, 2006PECOS Enrolled
353 NEW SHACKLE ISLAND RD, SUITE 141C, HENDERSONVILLE, TN 37075(615) 826-7171(615) 826-7170 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2020, Jun 28, 2017 (2 updates tracked since 2017).

About Mr. Robert P Fogolin Md NPPES

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

MR. ROBERT P FOGOLIN MD (NPI 1831153147) is an individual orthopaedic surgery provider in Hendersonville, Tennessee, licensed in Tennessee (MD29374) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831153147
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. ROBERT P FOGOLINCredential: MD
Location Address353 NEW SHACKLE ISLAND RD, SUITE 141CHendersonville, TN 37075-2379
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Phone(615) 826-7171
Fax(615) 826-7170
Sole ProprietorYes
Enumeration DateApril 13, 2006
Last NPPES UpdateJune 8, 20202 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1831153147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · MD29374
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
353 NEW SHACKLE ISLAND RD, Hendersonville, TN 37075
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Other Identifiers 1

Medicaid3815854TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert P Fogolin 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.

Medicare Billing Reassignment

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

Premier Orthopaedics & Sports Medicine Plc
16 mi
Orthopaedic Surgery
2400 PATTERSON ST STE 300
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 71 clinicians in this Medicare group
NPI 1972577351 (615) 342-6300

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 3

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
100 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services11 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Reported Quality Measures

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.
49%1,504 patients1/55-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.
99%1,217 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
7%189 patients1/55-star benchmark: 88%
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.
98%382 patients4/55-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.
50%817 patients3/55-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…
20%733 patients1/55-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: 99% · 337 patients
Patients tobacco: 36% · 53 patients
89%337 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%817 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…
2%817 patients1/55-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.
16%817 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$82.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. ELISHA FORD HILL FNP-BC
Nurse Practitioner (Family)
353 NEW SHACKLE ISLAND RD, 141 C
HENDERSONVILLE, TN 37075
Sumner County (615) 826-3100
JESSICA MITCHELL PA-C
Physician Assistant
353 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 824-3737
DIGESTIVE DISEASE ASSOCIATES, P.C.
Internal Medicine (Gastroenterology)
353 NEW SHACKLE ISLAND RD, SUITE 222-B
HENDERSONVILLE, TN 37075
Sumner County (615) 824-4940
RIVERGATE SPORTS MEDICINE AND ORTHOPAEDIC SURGERY, P.C.
Specialist
353 NEW SHACKLE ISLAND RD, SUITE 110A
HENDERSONVILLE, TN 37075
Sumner County (615) 264-4785
LAKEVUE PLASTIC & RECONSTRUCTIVE SURGERY PLLC
Specialist
353 NEW SHACKLE ISLAND RD, SUITE 244 C
HENDERSONVILLE, TN 37075
Sumner County (615) 459-4531
BETTER YOU, PLLC
Family Medicine (Adult Medicine)
353 NEW SHACKLE ISLAND RD, SUITE 142-C
HENDERSONVILLE, TN 37075
Sumner County (615) 826-3142
JUNG H. LEE M.D.
Internal Medicine (Cardiovascular Disease)
353 NEW SHACKLE ISLAND RD, #300C
HENDERSONVILLE, TN 37075
Sumner County (615) 338-3337
DR. PETER B KROLL M.D.
Anesthesiology (Pain Medicine)
353 NEW SHACKLE ISLAND RD, SUITE 122B
HENDERSONVILLE, TN 37075
Sumner County (615) 824-3737

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 Robert Fogolin's NPI number?

The NPI number for Robert Fogolin is 1831153147. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Robert Fogolin located?

Robert Fogolin practices at 353 New Shackle Island Rd Suite 141C, Hendersonville, TN 37075. The listed phone number is (615) 826-7171.

What is Robert Fogolin's specialty?

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

Is Robert Fogolin enrolled in Medicare?

Yes. Robert Fogolin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Fogolin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Fogolin reassigns Medicare benefits to Premier Orthopaedics & Sports Medicine Plc (Nashville, TN). 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 Robert Fogolin'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 Robert Fogolin was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.