Active NPI 1881689891 Individual Practitioner Male Practitioner

Dr. James Patrick Fogarty , MD

Nurse Practitioner • Cameron, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Fogarty, MD is a certified Nurse Practitioner practicing in Cameron, WI. With approximately 54 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1972, Dr. Fogarty delivers high-quality medical care to the local community at 902 WEST MAIN STREET.

Dr. Fogarty accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

902 West Main Street

Cameron, WI 548220144

Telephone 7154583124

Fax 7154583125

Associated Practice Facility / Clinic

🏢 Ri-Lee Medical Staffing, Inc. Facility NPI 1376624320

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cameron, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs Matches City Avg

City Avg: 54.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Cameron, WI (4030 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fogarty (54 Years) 54 Yrs

Cameron Specialty Average (54.0 Years) 54.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	77	$401.25	$120.42
99213 Established patient office or other outpatient visit, typically 15 minutes	176	92	$298.46	$85.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	20	$223.92	$53.16
99442 Telephone medical discussion with physician, 11-20 minutes	28	20	$200.00	$85.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$480.00	$168.75
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$373.35	$67.78

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	359	100	$387.71	$120.59
99213 Established patient office or other outpatient visit, typically 15 minutes	139	74	$293.32	$85.18
17110 Destruction of up to 14 skin growths	29	20	$542.39	$91.15
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$200.00	$85.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$444.00	$105.19
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$356.50	$68.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$458.00	$169.06

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	303	101	$378.23	$122.10
99213 Established patient office or other outpatient visit, typically 15 minutes	205	87	$288.52	$86.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$431.70	$105.60
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$347.78	$69.06
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$200.00	$85.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	66	$261.35	$86.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	68	$340.14	$121.29
99442 Telephone medical discussion with physician, 11-20 minutes	25	16	$200.00	$84.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$196.00	$51.61
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$312.86	$69.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	251	63	$261.51	$71.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	28	$338.00	$104.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	29	$196.57	$43.01
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$310.00	$72.66
11106 Incision biopsy, first skin growth	14	11	$423.95	$147.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	84	$260.00	$69.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	38	$338.00	$101.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	33	$196.00	$41.90
11106 Incision biopsy, first skin growth	17	13	$416.84	$127.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	77	$260.00	$68.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	67	$338.00	$100.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	26	$196.00	$40.82

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	174	68	$338.00	$99.57
99213 Established patient office or other outpatient visit, typically 15 minutes	151	61	$260.00	$67.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	22	$196.00	$40.21
36415 Insertion of needle into vein for collection of blood sample	19	16	$25.17	$2.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$2415.00	$80.18

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 1673

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 18691

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

21288500 (WI)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 19, 2024

Registered at 902 WEST MAIN STREET, CAMERON, WI 548220144 (Tel: 7154583124)

📍

Updated Business Mailing Address September 19, 2024

Registered at P.O. BOX 144, CAMERON, WI 548220144 (Tel: 7154583124)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 11128 N STATE ROAD 77, HAYWARD, WI 548435332 (Tel: 7159343124)

📍

Updated Business Mailing Address July 08, 2007

Registered at 11128 N STATE ROAD 77, HAYWARD, WI 548435332 (Tel: 7159343124)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES FOGARTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #18691 in WI)

🟢

Initial NPI Registration & Enumeration September 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881689891

Entity Type:

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

Enumeration Date: September 15, 2005

Last Update: September 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 144

Cameron, WI 548220144

Phone: 7154583124

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.