Active NPI 1194123729 Individual Practitioner Male Practitioner

Mark Matteson Fogg , DCNP, FNP, APRN

Nurse Practitioner - Primary Care • Trinity, FL

Professional Overview & Biography Verified Profile Summary

Mark Fogg, DCNP, FNP, APRN is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Trinity, FL. Practice services are available at 1019 FLORA VISTA ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, biopsy of related skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1019 Flora Vista St

Trinity, FL 346557025

Telephone 7276983963

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Trinity, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 7.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Trinity, FL (1099 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	52	$189.84	$104.58
99213 Established patient office or other outpatient visit, typically 15 minutes	90	44	$133.94	$74.82
17003 Destruction of precancer skin growth, 2-14 growths	74	14	$9.33	$5.27
11103 Biopsy of related skin growth, each additional growth	65	27	$73.81	$40.56
11102 Tangential biopsy of single skin lesion	62	43	$143.84	$77.66
17000 Destruction of skin growth	35	21	$98.23	$42.47
17004 Destruction of precancer skin growth, 15 or more growths	20	13	$247.23	$136.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$247.08	$138.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$164.84	$92.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	72	$190.19	$107.69
11103 Biopsy of related skin growth, each additional growth	103	42	$74.59	$42.22
17003 Destruction of precancer skin growth, 2-14 growths	93	11	$9.60	$5.49
11102 Tangential biopsy of single skin lesion	92	64	$148.62	$82.14
99213 Established patient office or other outpatient visit, typically 15 minutes	78	51	$132.79	$75.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$250.64	$139.63
17000 Destruction of skin growth	25	21	$98.89	$50.52
17004 Destruction of precancer skin growth, 15 or more growths	21	13	$251.15	$142.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$172.48	$95.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$154.89	$77.20
11103 Biopsy of related skin growth, each additional growth	34	18	$76.32	$43.21
11102 Tangential biopsy of single skin lesion	34	28	$152.57	$80.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$191.96	$108.67
17000 Destruction of skin growth	16	12	$100.73	$37.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$253.62	$143.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	92	$117.00	$77.82
17003 Destruction of precancer skin growth, 2-14 growths	116	28	$19.00	$5.38
11103 Biopsy of related skin growth, each additional growth	106	42	$98.00	$44.60
11102 Tangential biopsy of single skin lesion	86	71	$182.00	$85.60
17000 Destruction of skin growth	52	44	$135.00	$40.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$183.00	$96.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11103 Biopsy of related skin growth, each additional growth	171	69	$98.00	$44.92
17003 Destruction of precancer skin growth, 2-14 growths	147	30	$19.00	$4.98
11102 Tangential biopsy of single skin lesion	140	97	$182.00	$81.65
99213 Established patient office or other outpatient visit, typically 15 minutes	126	80	$117.00	$63.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	72	$178.00	$92.60
17000 Destruction of skin growth	64	46	$135.00	$38.88
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$125.00	$64.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$183.00	$91.87
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$341.00	$133.43
17110 Destruction of up to 14 skin growths	16	15	$191.00	$87.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	366	49	$19.00	$4.81
11102 Tangential biopsy of single skin lesion	213	151	$182.00	$79.98
99213 Established patient office or other outpatient visit, typically 15 minutes	195	109	$117.00	$62.75
11103 Biopsy of related skin growth, each additional growth	157	70	$98.00	$44.85
17000 Destruction of skin growth	108	73	$135.00	$39.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	75	$178.00	$91.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$183.00	$92.14
17004 Destruction of precancer skin growth, 15 or more growths	48	39	$341.00	$129.09
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$125.00	$64.68
17110 Destruction of up to 14 skin growths	29	21	$191.00	$89.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$106.89	$61.02
11100 Biopsy of single growth of skin and/or tissue	19	18	$167.57	$81.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$151.32	$89.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11100 Biopsy of single growth of skin and/or tissue	15	14	$230.00	$86.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$285.00	$91.23

Medical Specialties & State Licenses

CMS Verified: 2025-12-24

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License FL APRN2794242

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Practice Location December 05, 2025

Registered at 1019 FLORA VISTA ST, TRINITY, FL 346557025 (Tel: 7276983963)

📍

Updated Business Mailing Address December 05, 2025

Registered at 1019 FLORA VISTA ST, TRINITY, FL 346557025 (Tel: 7276983963)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2025

Nurse Practitioner (License #APRN2794242 in FL)

📍

Updated Business Mailing Address February 06, 2025

Registered at 10820 SHELDON RD, TAMPA, FL 336265117 (Tel: 8138807546)

👤

Provider Name / Credentials Updated February 06, 2025

Recorded as MARK FOGG, DCNP, FNP, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2025

Nurse Practitioner (License #APRN2794242 in FL)

📍

Updated Practice Location September 08, 2024

Registered at 10820 SHELDON RD, TAMPA, FL 336265117 (Tel: 8138807546)

📍

Updated Business Mailing Address September 08, 2024

Registered at 1019 FLORA VISTA ST, TRINITY, FL 346557025 (Tel: 8136983963)

👤

Provider Name / Credentials Updated September 08, 2024

Recorded as MARK FOGG, ARNP, DCNP, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2024

Dermatology (License #APRN2794242 in FL)

📍

Updated Practice Location July 01, 2019

Registered at 5060 COMMERCIAL WAY, SPRING HILL, FL 346061927 (Tel: 3528355823)

📍

Updated Business Mailing Address July 01, 2019

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 4078752080)

✅

NPI Profile Active November 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2016

Registered at 5210 WEBB RD, TAMPA, FL 336154518 (Tel: 7276983963)

📍

Updated Business Mailing Address November 28, 2016

Registered at 5210 WEBB RD, TAMPA, FL 336154518 (Tel: 7276983963)

👤

Provider Name / Credentials Updated November 28, 2016

Recorded as MARK FOGG, ARNP, INC.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Nurse Practitioner (License #ARNP 2794242 in FL)

🟢

Initial NPI Registration & Enumeration December 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194123729

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 14, 2014

Last Update: December 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1019 Flora Vista St

Trinity, FL 346557025

Phone: 7276983963

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.