Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720027253 Individual Practitioner Male Practitioner

Dr. John L Foggle , MD

Emergency Medicine • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Foggle, MD is a certified Emergency Medicine practicing in Providence, RI. With approximately 37 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1989, Dr. Foggle delivers high-quality medical care to the local community at 593 EDDY ST.

Dr. Foggle is affiliated with Icahn School Of Medicine At Mount Sinai and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St
Claverick 2

Providence, RI 029034923

Telephone 4018542504
Fax 4018542519
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Providence, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +21.8 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
246 Specialists

Practicing in Providence, RI (427 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Foggle (37 Years) 37 Yrs
Providence Specialty Average (15.2 Years) 15.2 Yrs

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
99285 Emergency department visit for life threatening or functioning severity
79 79 $935.00 $191.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
65 57 $56.06 $8.74
99284 Emergency department visit with moderate level of medical decision making
22 22 $526.00 $132.70
99291 Critical care, first 30-74 minutes
12 11 $1320.58 $232.52

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License RI MD12121

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2119871 (MA)
Medicaid State Provider ID
7058592 (RI)
Commercial Insurance / Payer ID Tufts Health Plan
12/29/2008 (MA)
Commercial Insurance / Payer ID Ri Medicare Group Number
939025129 (RI)
Commercial Insurance / Payer ID Bcbsri
413496 (RI)
Commercial Insurance / Payer ID Nhpri
9/26/2006 (RI)
Commercial Insurance / Payer ID 1720027253
NPI (RI)

Hospital & Practice Group Affiliations

Icahn School Of Medicine At Mount Sinai

1468 Madison Ave, New York, NY 100296508

Phone: 2129873100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Dale Steele , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1033125166

Doctor of Medicine (M.D.)

Dr. Brian Clyne , MD

Emergency Medicine

NPI 1083638928

Doctor of Medicine (M.D.)

Dr. Lynne Palmisciano , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1184638017

Doctor of Medicine (M.D.)

Alison Pardee , PA

Physician Assistant

NPI 1205840808

Physician Assistant

NPI 1215047618

Doctor of Medicine (M.D.)

Dr. Gregory Jay , MD

Emergency Medicine

NPI 1225042419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2013

Registered at 593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 029034923 (Tel: 4018542504)

📍
Updated Business Mailing Address September 17, 2013

Registered at PO BOX 9484, PROVIDENCE, RI 029409484 (Tel: 4018542500)

👤
Provider Name / Credentials Updated September 17, 2013

Recorded as JOHN FOGGLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Emergency Medicine (License #MD12121 in RI)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720027253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: September 17, 2013
Sole Proprietor: No

Mailing Address

Po Box 9484

Providence, RI 029409484

Phone: 4018542500

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.