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DR. DIMITRY A. FOMIN MD
NPI 1831171263
Internal Medicine - Sleep Medicine in Rogers, AR

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
2708 RIFE MEDICAL LN, SUITE 200, ROGERS, AR 72758(479) 338-3720(479) 338-3749 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dimitry A. Fomin Md NPPES

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

DR. DIMITRY A. FOMIN MD (NPI 1831171263) is an individual sleep medicine provider in Rogers, Arkansas, licensed in Arkansas (E5557) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1992).

NPPES Registry Identity

NPI1831171263
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. DIMITRY A. FOMINCredential: MD
Location Address2708 RIFE MEDICAL LN, SUITE 200Rogers, AR 72758-1452
Mailing Address2708 Rife Medical Ln, Suite 200Rogers, AR 72758-1452 · (479) 338-3720 · Fax (479) 338-3749
Phone(479) 338-3720
Fax(479) 338-3749
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1992
Enumeration DateNovember 21, 2005
Last NPPES UpdateOctober 31, 2013
✔ NPI 1831171263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in AR · E5557
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License E5557 (AR)
2708 RIFE MEDICAL LN, Rogers, AR 72758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Dr. Dimitry A. Fomin Md 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 ID5496820268
PECOS Enrollment IDI20100810001011
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

2

Medicare enrollment records show Dimitry Fomin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Northwest Arkansas Communities
Same address
Hospice and Palliative Medicine
2708 S RIFE MEDICAL LN STE T20
Rogers, AR 72758
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1699076737 (Arkansas)
  • 472 clinicians in this Medicare group
NPI 1619219474 (479) 338-3720
Mercy Hospital Berryville
35 mi
Critical Access
214 CARTER ST
Berryville, AR 72616
  • Reassigned Medicare billing, Arkansas enrollment
  • 90 clinicians in this Medicare group
NPI 1457306326 (870) 423-3355

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 11

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
174 services174 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
129 services128 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
88 services88 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
85 services80 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
73 services72 patients
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.
62 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers367 claims368 services$37.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers362 claims365 services$87.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers387 claims1,023 services$33.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
18 suppliers286 claims1,526 services$18.96 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
16 suppliers201 claims1,076 services$14.48 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
22 suppliers490 claims490 services$54.76 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 17

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

DR. KAREN ANNE HARGUS MD
Obstetrics & Gynecology
2708 RIFE MEDICAL LN, SUITE T40
ROGERS, AR 72758
Benton County (479) 338-4000
DR. MICHAEL EARL POTTS MD
Obstetrics & Gynecology
2708 RIFE MEDICAL LN, SUITE T40
ROGERS, AR 72758
Benton County (479) 338-4000
DR. MARY EVELYN BOURLAND MD
Surgery (Vascular Surgery)
2708 RIFE MEDICAL LN, SUITE 210
ROGERS, AR 72758
Benton County (479) 338-3888
MRS. BRENDA G ROWE ANP
Nurse Practitioner
2708 RIFE MEDICAL LN, SUITE 210
ROGERS, AR 72758
Benton County (479) 338-3888
DR. JOHN JAMES PAPPAS MD
Obstetrics & Gynecology
2708 RIFE MEDICAL LN, T40
ROGERS, AR 72758
Benton County (479) 338-4000
AMER RAZA MD
Internal Medicine (Pulmonary Disease)
2708 RIFE MEDICAL LN, SUITE 200
ROGERS, AR 72758
Benton County (479) 338-3080
DR. ROBERT JOSEPH STUPPY MD
Internal Medicine (Cardiovascular Disease)
2708 RIFE MEDICAL LN, SUITE 220
ROGERS, AR 72758
Benton County (479) 338-4400
DR. ALFRED R ADDINGTON MD
Obstetrics & Gynecology
2708 RIFE MEDICAL LN, SUITE T40
ROGERS, AR 72758
Benton County (479) 338-4000

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 Dimitry Fomin's NPI number?

The NPI number for Dimitry Fomin is 1831171263. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Dimitry Fomin located?

Dimitry Fomin practices at 2708 Rife Medical Ln Suite 200, Rogers, AR 72758. The listed phone number is (479) 338-3720.

What is Dimitry Fomin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Dimitry Fomin enrolled in Medicare?

Yes. Dimitry Fomin 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 Dimitry Fomin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dimitry Fomin reassigns Medicare benefits to 2 organizations: Mercy Health Northwest Arkansas Communities (Rogers, AR) and Mercy Hospital Berryville (Berryville, AR). 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 Dimitry Fomin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dimitry Fomin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Dimitry Fomin 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 Dimitry Fomin was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.