DR. EDMOND NKETTI FOMUNUNG MD
NPI 1891079158
Hospitalist in Dallas, TX

Active since October 05, 2011PECOS Enrolled
74.59/100
CMS Quality Rating
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 645-3597(214) 645-0078 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2017, Dec 17, 2015 (2 updates tracked since 2015).

About Dr. Edmond Nketti Fomunung Md NPPES

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

DR. EDMOND NKETTI FOMUNUNG MD (NPI 1891079158) is an individual hospitalist provider in Dallas, Texas, licensed in Texas (Q3184) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891079158
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. EDMOND NKETTI FOMUNUNGCredential: MD
Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7201
Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 645-3597 · Fax (214) 645-0078
Fax(214) 645-0078
Sole ProprietorYes
Enumeration DateOctober 5, 2011
Last NPPES UpdateJanuary 30, 20172 updates tracked since enumeration
NPI 1891079158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · Q3184
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
5323 HARRY HINES BOULEVARD, Dallas, TX 75390

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edmond Nketti Fomunung 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers16 claims20 services$17.62 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
4 suppliers16 claims20 services$66.12 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.

Emergency Medicine
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Audiologist
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Nurse Practitioner (Family)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Radiology (Diagnostic Radiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Pediatrics (Pediatric Cardiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390

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 Edmond Fomunung's NPI number?

The NPI number for Edmond Fomunung is 1891079158. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Where is Edmond Fomunung located?

Edmond Fomunung practices at 5323 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 645-3597.

What is Edmond Fomunung's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Edmond Fomunung enrolled in Medicare?

Yes. Edmond Fomunung is registered in the Medicare PECOS enrollment system.

What insurance does Edmond Fomunung accept?

Health plans from Blue Cross and Blue Shield of Texas list Edmond Fomunung 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 Edmond Fomunung was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.