KIRK A FOUGNIE (PA-C) – Physician Assistant, NPI 1295734747

KIRK A FOUGNIE (PA-C) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA582 (KY). The NPI Number for KIRK A FOUGNIE (PA-C) is 1295734747

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KIRK A FOUGNIE (PA-C)
NPI
1295734747
Phone
(502) 364-0902
Address
4331 CHURCHMAN AVE
Enumeration Date
18 July 2005
Last Update Date
19 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022864644
Graduation Year
2000 (26 years ago)
PAC ID
5395793418
Group Practice PAC ID
9739416611
Professional Enrollment ID
I20061025000751
Address ID
KY402581140LO8442XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for KIRK A FOUGNIE (PA-C)

  • 4331, Churchman Avenue, Louisville, Jefferson County, Kentucky, 40215, United States

    SUITE 101

    LOUISVILLE, KY 402151164

    Phone: (502) 364-0902

    Fax: (502) 364-0099

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($28).

Total Amount

$42

General + Research + Ownership

Payments

3

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-10-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061025000751IPhysician AssistantKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,078168$0
20610Aspiration and/or injection of fluid from large joint481176$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes457150$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes245124$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes6767$0
View full utilization report →

Insurance plans in this area (ZIP 40215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739416611View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY

Reviews

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Frequently asked questions

How is KIRK A FOUGNIE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KIRK A FOUGNIE (PA-C) with NPI 1295734747.
Does CMS list KIRK A FOUGNIE (PA-C) as active?
Yes — KIRK A FOUGNIE (PA-C) is active in the NPI listing used on this page.
What is KIRK A FOUGNIE (PA-C)'s specialty?
The listing groups KIRK A FOUGNIE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KIRK A FOUGNIE (PA-C) list a practice location?
Patients near Louisville, Kentucky may find KIRK A FOUGNIE (PA-C) in results; validate coverage separately.
Why does KIRK A FOUGNIE (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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