1. Home
  2. Directory
  3. Wisconsin
  4. Cameron
  5. Nurse Practitioner
  6. NPI Profile

JAMES PATRICK FOGARTY M.D.
NPI 1881689891
Nurse Practitioner in Cameron, WI

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
89.68/100
CMS Quality Rating
902 WEST MAIN STREET, CAMERON, WI 54822(715) 458-3124(715) 458-3125 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About James Patrick Fogarty M.d. NPPES

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

JAMES PATRICK FOGARTY M.D. (NPI 1881689891) is an individual nurse practitioner in Cameron, Wisconsin, licensed in Wisconsin (1673) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of University Of Wisconsin School Of Medicine (1972).

NPPES Registry Identity

NPI1881689891
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAMES PATRICK FOGARTYCredential: M.D.
Location Address902 WEST MAIN STREETCameron, WI 54822-0144
Mailing AddressP.o. Box 144Cameron, WI 54822-0144 · (715) 458-3124 · Fax (715) 458-3125
Phone(715) 458-3124
Fax(715) 458-3125
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1972
Enumeration DateSeptember 15, 2005
Last NPPES UpdateSeptember 19, 2024
✔ NPI 1881689891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 1673
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedSurgeryTaxonomy 208600000X · License 18691 (WI)
902 WEST MAIN STREET, Cameron, WI 54822
Open in Google Maps ↗

Other Identifiers 1

Medicaid21288500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

James Patrick Fogarty M.d. 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 ID1759270200
PECOS Enrollment IDI20040312000429
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.

Areas of Expertise CMS Part B claims 6

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.

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.
272 services77 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.
176 services92 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services11 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521315
Location1222 E Woodland AveBarron, WI 54812 · Barron County
Emergency services

Spooner Health System

Critical Access Hospitals · Spooner, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521332
Location1280 Chandler DrSpooner, WI 54801 · Washburn County
Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54822 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

89.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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
7 suppliers11 claims33 services$6.59 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 supplier11 claims11 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.27 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers16 claims780 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$26.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Fogarty's NPI number?

The NPI number for James Fogarty is 1881689891. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is James Fogarty located?

James Fogarty practices at 902 West Main Street, Cameron, WI 54822. The listed phone number is (715) 458-3124.

What is James Fogarty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is James Fogarty enrolled in Medicare?

Yes. James Fogarty 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 James Fogarty accept?

Health plans from HealthPartners, Medica and Security Health Plan list James Fogarty 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.

Is James Fogarty affiliated with any hospitals?

According to CMS data, James Fogarty is affiliated with Marshfield Medical Center - Rice Lake, Mayo Clinic Health System-Northland, Spooner Health System and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for James Fogarty was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.