DR. GUY ALEXANDER FOGG MD
NPI 1881071124
Internal Medicine in Independence, MO

Q: What is Guy Fogg's NPI number?

The NPI number for Guy Fogg is 1881071124. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Q: What is Guy Fogg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Guy Fogg was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment

91.35/100

CMS Quality Rating

11605 E 23RD ST S, INDEPENDENCE, MO 64050(816) 579-6891 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2023, Apr 13, 2021, Nov 14, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Guy Alexander Fogg Md NPPES

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

DR. GUY ALEXANDER FOGG MD (NPI 1881071124) is an individual internal medicine provider in Independence, Missouri, licensed in Missouri (2023005511) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881071124

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GUY ALEXANDER FOGGCredential: MD

Location Address11605 E 23RD ST SIndependence, MO 64050-4201

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (615) 314-5257 · Fax (615) 692-0547

Phone(816) 579-6891

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 6, 2015

Last NPPES UpdateFebruary 21, 20236 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1881071124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MO · 2023005511✔ Licensed in KS · 04-47208✔ Licensed in OR · MD195200

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11605 E 23RD ST S, Independence, MO 64050

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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

Dr. Guy Alexander Fogg 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 ID2860795333

PECOS Enrollment IDI20230720001641

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64050 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

91.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.29

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers22 claims59 services$6.09 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims360 services$15.87 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$7.29 avg. paid by Medicare

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims1,284 services$1.13 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims3,000 services$0.48 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 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 9

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

DR. MICHAEL G WELLS D.O.

Family Medicine