Travis Scott Fogel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003983 Issued in PA

Practice address

120 Hollywood Dr Ste 102
Butler, PA 16001-7604

Phone

(724) 283-3500

NPI assigned

Mar 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wigton Eye Care Associates IncGroup PAC ID 1456264514, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.11 of 100Reported as group

Quality

88.21

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: travis.fogel@direct.revolutionehr.com

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.

• Wigton Eye Care Associates, Inc

  • Optometrist
  • Butler, PA
  • NPI 1770559866
  Medicare reassignment Care Compare group NPD
• Wigton Eye Care Associates,Inc

  • Optometrist
  • Grove City, PA
  • NPI 1952722175
  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1083314819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOLLYWOOD DR STE 102",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017604",
            "telephone_number": "724-283-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOLLYWOOD DR STE 102",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017604",
            "telephone_number": "724-283-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pine Grove Village Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161274451",
            "country_code": "US",
            "telephone_number": "724-458-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "TRAVIS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald E Flatt, D.C.
• Nicole E Fleeger, PHARMD
• Shawna Flowers, LPC
• Focus Physical Therapy, Inc.
• Ciana Rae Fogel, PA-C
• Kayla Foley
• Carol Michele Fong, M.S.W., L.I.S.W.
• Robert W Fornalczyk, D.D.S.
• William Burton Forsythe, LPC, NBCC
• Foundations Medical Services LLC

• Optometrist in Butler, PA
• Providers in Butler, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.