DR. GOLDWYN BONNER FOGGIE (M.D.) – Obstetrics & Gynecology Physician, NPI 1013925387
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
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Provider Addresses for DR. GOLDWYN BONNER FOGGIE (M.D.)
15620, Wood Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
HARVEY, IL 604264171
Phone: (708) 333-3030
Fax: (708) 333-6060
Type: Location
South Western Avenue, Beverly, Evergreen Park, Lake Township, Cook County, Illinois, 60643, United States
STE 100
EVERGREEN PARK, IL 608052814
Phone: (708) 425-1907
Fax: (708) 422-9816
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-08-07 • Largest payer in this snapshot: Currax Pharmaceuticals LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Currax Pharmaceuticals LLC | $15 |
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: 2025-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070426000284 | I | Obstetrics/Gynecology | IL | TBD |
| I20221230002242 | I | Obstetrics/Gynecology | MN | TBD |
| I20240503003111 | I | Obstetrics/Gynecology | WI | TBD |
| I20250403002643 | I | Obstetrics/Gynecology | MT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| Internal Medicine, Hospitalist | MT | |
| Orthopedic Surgery | WY | |
| Dermatology, General Surgery | CA | |
| Clinical Social Worker | FL | |
| Family Practice | IL | |
| - | MT | |
| Obstetrics/Gynecology, Hospitalist | AK | |
| U R O L O G Y | MT | |
| Nurse Practitioner | IN |
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