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PETER J FODOR DPM
NPI 1891772653
Podiatrist in Ephrata, PA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
99.05/100
CMS Quality Rating
804 GRANDVIEW DR, STE 1, EPHRATA, PA 17522(717) 733-2251 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter J Fodor Dpm NPPES

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

PETER J FODOR DPM (NPI 1891772653) is an individual podiatrist in Ephrata, Pennsylvania, licensed in Pennsylvania (SC004412L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Wellspan Ephrata Community Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (1997).

NPPES Registry Identity

NPI1891772653
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePETER J FODORCredential: DPM
Location Address804 GRANDVIEW DR, STE 1Ephrata, PA 17522-1635
Mailing Address804 Grandview Dr, Ste 1Ephrata, PA 17522-1635 · (717) 733-2251
Phone(717) 733-2251
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1997
Enumeration DateDecember 22, 2005
Last NPPES UpdateApril 22, 2008
✔ NPI 1891772653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC004412L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
804 GRANDVIEW DR, Ephrata, PA 17522
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Other Identifiers 7

Medicare UPINU84751PA
Other1520238PA · Gateway
Other925809PA · Highmark Blue Shield
Other01320401PA · Capital Blue Cross
Medicare PIN480033031PA
Medicaid0018417540003PA
Medicare PIN047344JEQPA

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

Peter J Fodor Dpm 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 ID5799726642
PECOS Enrollment IDI20100304000389
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 12

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,258 services307 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
462 services118 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
272 services75 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.
204 services152 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
201 services70 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
144 services66 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

99.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40

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.
100%844 patients5/55-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%153 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%250 patients5/55-star benchmark: 100%
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…
70%20 patients3/55-star benchmark: 98%
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.
100%3,361 patients5/55-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.
42%1,232 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%286 patients5/55-star benchmark: 95%
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…
99%530 patients4/55-star benchmark: 100%
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
100%561 patients5/55-star benchmark: 100%
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…
84%1,232 patients4/55-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…
1%1,232 patients1/55-star benchmark: 79%
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 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier27 claims54 services$55.35 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier16 claims96 services$25.02 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 10

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

STEVEN W KREAMER DPM
Podiatrist
804 GRANDVIEW DR, STE 1
EPHRATA, PA 17522
Lancaster County (717) 733-2251
HERBERT C. HOOVER JR. M.D
Surgery
804 GRANDVIEW DR, WELLSPAN SURGICAL SPECIALISTS
EPHRATA, PA 17522
Lancaster County (717) 466-2500
DR. HEATHER FELD PORTARO M.D.
Surgery
804 GRANDVIEW DR
EPHRATA, PA 17522
Lancaster County (717) 639-2955
THOMAS M HERRMANN DPM
Podiatrist
804 GRANDVIEW DR, STE 1
EPHRATA, PA 17522
Lancaster County (717) 733-2251
LANCASTER COUNTY PODIATRY LLP
Podiatrist
804 GRANDVIEW DR, STE 1
EPHRATA, PA 17522
Lancaster County (717) 733-2251
MELISSA A CAVALLARO DPM
Podiatrist
804 GRANDVIEW DR, STE 1
EPHRATA, PA 17522
Lancaster County (717) 733-2251
KEYSER & O'CONNOR SURGICAL ASSOCIATES
Surgery (Vascular Surgery)
804 GRANDVIEW DR, STE 3
EPHRATA, PA 17522
Lancaster County (717) 733-4644
HERITAGE SURGICAL ASSOCIATES, LTD.
Surgery
804 GRANDVIEW DR, SUITE 2
EPHRATA, PA 17522
Lancaster County (717) 733-2055

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 Peter Fodor's NPI number?

The NPI number for Peter Fodor is 1891772653. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Peter Fodor located?

Peter Fodor practices at 804 Grandview Dr Ste 1, Ephrata, PA 17522. The listed phone number is (717) 733-2251.

What is Peter Fodor's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Peter Fodor enrolled in Medicare?

Yes. Peter Fodor 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.

Is Peter Fodor affiliated with any hospitals?

According to CMS data, Peter Fodor is affiliated with Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Peter Fodor was last updated on April 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.