DERRICK ALLEN FOGE (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1669890216
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
87 ORTHOPEDIC SURGERY in AK
Provider Addresses for DERRICK ALLEN FOGE (MD)
1915 E REZANOF DR STE 150
KODIAK, AK 996156602
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Location
3801 LAKE OTIS PKWY
ANCHORAGE, AK 995085234
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $262.
Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Medtronic, Inc. ($207).
Total Amount
$262
General + Research + Ownership
Payments
2
Total payment records
General Amount
$262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $207 |
| Globus Medical, Inc. | $55 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200713000971 | I | Orthopedic Surgery | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 173 | 108 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 121 | 46 | $0 |
| 22614 | Fusion of additional segment of spine | 109 | 15 | $0 |
| 22552 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 49 | 27 | $0 |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 34 | 34 | $0 |
Insurance plans in this area (ZIP 99615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | AK | |
| Physician Assistant | AK | |
| Orthopedic Surgery | AK | |
| P O D I A T R Y | TX | |
| Family Practice | WA | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Family Practice, Osteopathic Manipulative Medicine | AK | |
| Pain Management, Physical Medicine And Rehabilitation | AK |
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