Matthew I Fogg, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD417599 Issued in PA

Practice address

470 Sentry Pkwy E
Ste 200
Blue Bell, PA 19422-2324

Phone

(610) 825-5800

Fax

(610) 397-0980

NPI assigned

May 23, 2005

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

New York University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.25 of 100Reported as group

Quality

86.03

Promoting interoperability

86

Improvement activities

40

Cost

73.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.fogg@advocaredoctors.eclinicaldirectplus.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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  PA

  Medicare reassignment Care Compare group NPD
• PSF PLLC

  • Allergy & Immunology Physician
  • Louisville, KY
  • NPI 1881785947

  PA

  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare , LLC

  • Allergy & Immunology Physician
  • King of Prussia, PA
  • NPI 1679322168
  NPD (past)
• Advocare , LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1932702529
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1114920220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SENTRY PKWY E",
            "address_2": "STE 200",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222324",
            "telephone_number": "610-825-5800",
            "fax_number": "610-397-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "MATTHEW",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD417599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Leor Fischer, MD
• Keira Fischetti
• John J Fitzgerald III, D.O.
• Hannah Flancer, RN, MSN
• Pamela Ann Flick, MD
• Forever Young Senior Care Center
• Lisa Meryl Forman, LSW
• Fornance Physician Services, Inc
• Fornance Physician Services, Inc
• Danielle Fox, MA, NCC, LPC

• Allergy & Immunology Physician in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Allergy & Immunology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.