DR. JAMES A FOSNAUGH (M.D.) – Internal Medicine Physician, NPI 1205865631

DR. JAMES A FOSNAUGH (M.D.) is a healthcare provider. based in Lincoln, Nebraska. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 15988 (NE). The NPI Number for DR. JAMES A FOSNAUGH (M.D.) is 1205865631

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES A FOSNAUGH (M.D.)
NPI
1205865631
Phone
(402) 488-7400
Address
7441 O ST
Enumeration Date
30 June 2006
Last Update Date
1 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
4024887400
Graduation Year
1979 (47 years ago)
PAC ID
5597723023
Group Practice PAC ID
8022906775
Professional Enrollment ID
I20041230000090
Address ID
NE685102468LI7441XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

752 INTERNAL MEDICINE in NE

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Provider Addresses for DR. JAMES A FOSNAUGH (M.D.)

  • Lincoln Nephrology & Hypertension, 7441, O Street, Lincoln, Lancaster County, Nebraska, 68510, United States

    STE 400

    LINCOLN, NE 685102466

    Phone: (402) 488-7400

    Fax: (402) 488-0739

    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 51 Open Payments records for all available years, with a total value of $969.

Total Amount is formed as General ($969) + Research ($0) + Ownership ($0) = $969.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: PFIZER INC. ($154).

Total Amount

$969

General + Research + Ownership

Payments

51

Total payment records

General Amount

$969

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

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: 2004-12-30

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
I20041230000090IInternal MedicineNETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes495331$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes437215$0
99215Established patient office or other outpatient visit, 40-54 minutes312252$0
G0444Annual depression screening, 5 to 15 minutes309309$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit308308$0
View full utilization report →

Insurance plans in this area (ZIP 68510)

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Provider's Procedures

DR. JAMES A FOSNAUGH (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINENE20610Aspiration and/or injection of large joint or joint capsule7644
INTERNAL MEDICINENE85610Blood test, clotting time29074
INTERNAL MEDICINENE90670Pneumococcal vaccine for injection into muscle317317

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: 8022906775View full group profile
NameSpecialtyState
Family PracticeNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Family PracticeNE
Clinical Social WorkerNE
Family PracticeNE
Physician AssistantNE
Family Practice, Emergency MedicineNE
Physician AssistantNE

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Frequently asked questions

What federal number belongs to DR. JAMES A FOSNAUGH (M.D.)?
The federal identifier for DR. JAMES A FOSNAUGH (M.D.) is NPI 1205865631.
Is DR. JAMES A FOSNAUGH (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JAMES A FOSNAUGH (M.D.) as an active registrant.
Can you summarize DR. JAMES A FOSNAUGH (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JAMES A FOSNAUGH (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JAMES A FOSNAUGH (M.D.) practice in Nebraska?
You will see Lincoln, Nebraska on file for DR. JAMES A FOSNAUGH (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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