Active NPI 1629063144 Individual Practitioner Male Practitioner

Dr. Michael J Foley , MD

Surgery • Oshkosh, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Foley, MD is a certified Surgery practicing in Oshkosh, WI. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Foley delivers high-quality medical care to the local community at 2700 W 9TH AVE.

Dr. Foley is affiliated with Ascension Medical Group-Fox Valley Wisconsin Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2700 W 9th Ave
Ste 310

Oshkosh, WI 549047247

Telephone 9202233550

Associated Practice Facility / Clinic

🏢 Mary Mcdonald Md Sc Facility NPI 1043224041

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oshkosh, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

14 Specialists

Practicing in Oshkosh, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Foley (30 Years) 30 Yrs

Oshkosh Specialty Average (24.3 Years) 24.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	29	$225.74	$72.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	31	$126.69	$45.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$628.44	$160.04
99239 Hospital discharge day management, more than 30 minutes	19	19	$334.26	$106.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$319.67	$120.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$420.77	$120.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	27	$220.54	$75.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	17	$124.65	$46.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$612.00	$165.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$302.18	$122.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$421.36	$123.90
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$212.55	$69.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	29	$213.57	$67.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	14	$305.55	$96.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$588.90	$186.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$290.76	$122.39
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$194.20	$86.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$398.82	$127.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	37	$205.25	$65.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	20	$567.43	$182.83
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$186.55	$87.91
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$192.46	$69.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$279.00	$124.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	26	$199.32	$71.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$108.96	$38.25
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$178.22	$66.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$121.65	$43.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$370.06	$133.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$176.00	$71.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$119.00	$43.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$261.00	$105.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$363.00	$132.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	16	$105.56	$35.42
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$173.71	$69.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$117.27	$41.96
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$179.00	$71.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$357.87	$121.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	30	$115.00	$41.69
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$170.00	$69.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	15	$103.00	$37.60
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$170.00	$48.94
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$258.00	$90.83
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$176.00	$71.31

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 43130

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

34107900 (WI)

Hospital & Practice Group Affiliations

Ascension Medical Group-Fox Valley Wisconsin Inc

2700 W 9th Ave, Oshkosh, WI 549047247

Ascension Medical Group-Fox Valley Wisconsin Inc

500 S Oakwood Rd, Oshkosh, WI 549047944

Phone: 9202232000

Ascension Medical Group-Fox Valley Wisconsin Inc

1506 S Oneida St, Appleton, WI 549151305

Phone: 9207382000

Ascension Medical Group-Fox Valley Wisconsin Inc

1501 S Madison St, Appleton, WI 549151846

Phone: 9207382000

Ascension Medical Group-Fox Valley Wisconsin Inc

500 S Oakwood Rd, Oshkosh, WI 549047944

Phone: 9202233000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Monica Jacobus , MD

Surgery

NPI 1144457250

Doctor of Medicine (M.D.)

Robin Marx , RN

Specialist/Technologist, Other - Surgical Technologist

NPI 1497745855

Registered Nurse

Dr. Kingston Okrah , MD

Internal Medicine - Interventional Cardiology

NPI 1528222312

Doctor of Medicine (M.D.)

Dr. Robert Weber , MD

Surgery

NPI 1780673053

Doctor of Medicine (M.D.)

Dr. Robert Mcdonald , MD

Surgery

NPI 1922092584

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 August 30, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2008

Registered at 2700 W 9TH AVE, STE 310, OSHKOSH, WI 549047247 (Tel: 9202233550)

📍

Updated Business Mailing Address August 30, 2008

Registered at 2700 W 9TH AVE, STE 310, OSHKOSH, WI 549047247 (Tel: 9202233550)

👤

Provider Name / Credentials Updated August 30, 2008

Recorded as MICHAEL FOLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2008

Surgery (License #43130 in WI)

🟢

Initial NPI Registration & Enumeration September 12, 2005

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: 1629063144

Entity Type:

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

Enumeration Date: September 12, 2005

Last Update: August 30, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2700 W 9th Ave, Ste 310

Oshkosh, WI 549047247

Phone: 9202233550

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.