David G Fagan, M.D.
Individual provider Active NPI Family Medicine Physician · Valley, AL
NPI 1912929068 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1912929068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 00017725 (AL)
- Practice address
- 11 Medical Park
Valley, AL 36854-3665 - Phone
- (334) 756-4860
- Fax
- (334) 756-4866
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Area Primary Care LLC
Practice addresses (Care Compare)
267 Fob James Dr
Valley, AL 36854-5077
Phone (334) 756-4860
Hospital & facility affiliations
- Eamc - Lanier Home Health
- Chattahoochee Hospice Inc
- The East Alabama Healthcare Authority
- Eamc - Lanier
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.26 of 100
- Quality
- 77.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 23 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080222000463 | AL | Practitioner - Family Practice | 5092629121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17725 | AL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 00017725 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Area Primary Care, LLC | Family Medicine | Current |
Accepting new patients |
Locations
267 Fob James Dr
Valley, AL 36854
Phone (334) 364-3330
Interoperability endpoints
- davidfagan@vamp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00017725 | AL | Yes |
Addresses
Primary practice location
11 Medical Park
Valley, AL 36854-3665
Mailing address
510 Azalea Drive
Lanett, AL 36863
Phone (334) 644-3492
Other providers in Valley, AL
- Encore Rehabilitation Inc
- Enrique Duprat MD PC
- Etherton Family Dentistry PC
- Carla A Etherton Moore
- Jason Anthony Etherton
- FDC Inc
- FDC, Inc
- Heather Laconya Veal Fields
- Mitchel Lewis Galishoff
- Rutilio Garcia
All providers in Valley, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.