DR. TRAVIS SCOTT FOGEL (OD) – Optometrist, NPI 1083314819

DR. TRAVIS SCOTT FOGEL (OD) is a healthcare provider. based in Grove city, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG003983 (PA). The NPI Number for DR. TRAVIS SCOTT FOGEL (OD) is 1083314819

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS SCOTT FOGEL (OD)
NPI
1083314819
Phone
(724) 458-7440
Address
16 Pine Grove Village Dr
Enumeration Date
9 March 2023
Last Update Date
9 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7242833500
Graduation Year
2022 (4 years ago)
PAC ID
2961877733
Group Practice PAC ID
1456264514
Professional Enrollment ID
I20230408000169
Address ID
PA160017604BU120XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for DR. TRAVIS SCOTT FOGEL (OD)

  • 16 Pine Grove Village Dr

    Grove City, PA 161274451

    Phone: (724) 458-7440

    Type: Location

  • 120 HOLLYWOOD DR STE 102

    BUTLER, PA 160017604

    Phone: (724) 283-3500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $908.

Total Amount is formed as General ($908) + Research ($0) + Ownership ($0) = $908.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($480).

Total Amount

$908

General + Research + Ownership

Payments

38

Total payment records

General Amount

$908

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2023-04-08

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
I20230408000169IOptometryPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8171$0
99214Established patient office or other outpatient visit, 30-39 minutes2828$0
92014Established patient complete exam of visual system2120$0
92134Imaging of retina1815$0
92012Established patient problem focused exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 16127)

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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: 1456264514View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

Where can patients find DR. TRAVIS SCOTT FOGEL (OD)'s NPI?
You can confirm DR. TRAVIS SCOTT FOGEL (OD) with NPI 1083314819; it appears in the national provider directory.
Is DR. TRAVIS SCOTT FOGEL (OD)'s NPI currently valid?
The extract we use shows DR. TRAVIS SCOTT FOGEL (OD) as active.
What kind of provider is DR. TRAVIS SCOTT FOGEL (OD)?
The page reflects Optometrist for DR. TRAVIS SCOTT FOGEL (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. TRAVIS SCOTT FOGEL (OD)?
The snapshot lists Grove City, Pennsylvania for DR. TRAVIS SCOTT FOGEL (OD); 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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