Individual provider Active NPI

Gregory Alan Foster, PA-C

  • Physician Assistant
  • El Campo, TX
National Provider Identifier
1003076704
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02838 Issued in TX
Practice address
3703 Farm to MKT Rd 2765 Suite E
El Campo, TX 77437
Phone
(979) 543-1800
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02838 TX Primary

Addresses

Primary practice location

3703 Farm to MKT Rd 2765 Suite E
El Campo, TX 77437

Mailing address

521 High Meadows Rd
Bellville, TX 77418-9611
Phone (832) 414-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000577 TX Practitioner - Physician Assistant 6901963537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians
Derm Surgery Associates P.a.Group PAC ID 9436124278, 24 clinicians

Practice addresses (Care Compare)

1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5219
Phone (979) 731-4933

3703 FM 2765 Rd
Suite E
El Campo, TX 77437-6399
Phone (713) 791-9966

6700 W Loop S
Suite 500
Bellaire, TX 77401-4120
Phone 7137919966130

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02838TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermsouth, PA Past Accepting new patients
Memorial Clinical Associates, P.a. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gregory.foster@epiphanyderm.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1003076704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 HIGH MEADOWS RD",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774189611",
            "telephone_number": "832-414-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 FARM TO MKT RD 2765 SUITE E",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "77437",
            "telephone_number": "979-543-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

Verify at the official NPI Registry.