Active NPI
Jason Allen Fogleman, M.D.
- Orthopaedic Surgery Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 59286
- Practice address
- 340 Steeles Rd
Bristol, TN 37620-9532 - Phone
- (423) 282-9011
- Fax
- (423) 282-0035
- NPI assigned
- Apr 5, 2013
- Last updated
- Jan 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 59286 | TN | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 17769 | NV |
Addresses
Primary practice location
340 Steeles Rd
Bristol, TN 37620-9532
Mailing address
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Other practice location 1
875 Larry Neil Way
Kingsport, TN 37660-6368
Phone (423) 282-9011
Other practice location 2
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.93 of 100
- Quality
- 60.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17769 | NV | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Watauga Orthopaedics PLC | Orthopaedic Surgery | Current | Accepting new patients |
| Regents of the Univ of Ca | Orthopaedic Surgery | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Watauga Orthopaedics, PLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3850 G St
Merced, CA 95340
Phone (209) 384-6528
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
340 Steeles Rd
Bristol, TN 37620
Phone (423) 282-9011
2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011
875 Larry Neil Way
Kingsport, TN 37660
Phone (423) 282-9011
Interoperability endpoints
- jason.fogleman.1@3374.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Johnson City, TN
- NPI 1245251404
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Durable Medical Equipment & Medical Supplies
- Greeneville, TN
- NPI 1730924192
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1275526295
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
dba Bristol Regional Medical Center
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1427391697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SUSANNAH ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011748",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 STEELES RD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376209532",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
}
],
"practiceLocations": [
{
"address_1": "875 Larry Neil Way",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606368",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2410 Susannah St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376011748",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGLEMAN",
"first_name": "JASON",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-05",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "59286",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "17769",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.