Jacqueline Mary Fogarty, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101035912 Issued in VA

Practice address

409 Oak LN
South Boston, VA 24592-1633

Phone

(434) 572-8300

Fax

(434) 572-1659

NPI assigned

Apr 11, 2006

Last updated

Nov 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Jacqueline Mary Fogarty Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

87.02 of 100Reported as group

Quality

66.66

Promoting interoperability

100

Improvement activities

40

Cost

90.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfogarty528403@direct.sentara.net

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.

• Dominion Health Medical Assoc.

  dba Sentora Halifax General Surgery

  • Ambulatory Surgical Clinic/Center
  • South Boston, VA
  • NPI 1255771770
  Medicare reassignment NPD
• Jacqueline M Fogarty MD PC

  • Orthopaedic Surgery Physician
  • South Boston, VA
  • NPI 1043585623
  Authorized official Same address or phone
• Dominion Health Medical Assoc

  dba Sentara Cardiology Specialists

  • Cardiovascular Disease Physician
  • South Boston, VA
  • NPI 1356138879
  NPD
• Dominion Health Medical Assoc.

  dba Sentora Southern Virginia Orthopedics

  • Orthopaedic Surgery Physician
  • South Boston, VA
  • NPI 1306150545
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1821051525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 OAK LN",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921633",
            "telephone_number": "434-572-8300",
            "fax_number": "434-572-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 OAK LN",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921633",
            "telephone_number": "434-572-8300",
            "fax_number": "434-572-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "JACQUELINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101035912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200019809",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401767",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "078069",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FOGARTY",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "JACQUELINE FOGARTY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dorothy A. Fensterer, D.C.
• Tammy J Ferrell
• Mara Olivia Fiorio, RDN
• First Line Med Trans Inc
• Samuel C. Fisher, RPH
• Food Lion, LLC (Food Lion Pharmacy #0542)
• Foot & Ankle Clinic of South Boston PC
• Adriana E. Foster, MD
• Jenilee Rose Foster, P.A.
• Tiffany Francisco, PHARMD

• Orthopaedic Surgery Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.