GASTON G FODERINGHAM (MD) – Emergency Medicine Physician, NPI 1033148226

GASTON G FODERINGHAM (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 052514 (GA). The NPI Number for GASTON G FODERINGHAM (MD) is 1033148226

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
GASTON G FODERINGHAM (MD)
NPI
1033148226
Phone
Not provided
Address
PO BOX 636019
Enumeration Date
1 July 2006
Last Update Date
15 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705375851
Graduation Year
1987 (39 years ago)
PAC ID
9739170846
Group Practice PAC ID
2264484971
Professional Enrollment ID
I20040519000117
Address ID
GA301102012BR200XXDRXX400
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

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for GASTON G FODERINGHAM (MD)

  • PO BOX 636019

    CINCINNATI, OH 452636019

    Phone:

    Type: Mailing

  • Gross Crescent, Park City, Fort Oglethorpe, Catoosa County, Georgia, 30741, United States

    FORT OGLETHORPE, GA 307423643

    Phone: (706) 858-2000

    Fax: (865) 291-3228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1011 days ago).

Enrollment records

3

Earliest due date

2023-08-31

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
I20040519000117IEmergency MedicineGA2023-08-31
I20081223000618IEmergency MedicineTNTBD
I20160321000752IEmergency MedicineALTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 2264484971View full group profile
NameSpecialtyState
Family PracticeGA
Emergency MedicineNJ
Emergency Medicine, Hospitalist, Internal Medicine, Emergency Medicine, HospitalistTX
Emergency MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to GASTON G FODERINGHAM (MD)?
The federal identifier for GASTON G FODERINGHAM (MD) is NPI 1033148226.
Is GASTON G FODERINGHAM (MD) active in the national directory?
GASTON G FODERINGHAM (MD)'s public NPI profile is in an active state.
What does GASTON G FODERINGHAM (MD) treat or focus on?
Patients typically see GASTON G FODERINGHAM (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place GASTON G FODERINGHAM (MD)?
The snapshot lists Cincinnati, Ohio for GASTON G FODERINGHAM (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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