James Fosnaugh, M.D.
NPI 1205865631 · Internal Medicine Physician · Lincoln, NE
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Fosnaugh, M.D. is a Internal Medicine Physician provider in Lincoln, NE (NPI 1205865631).
Provider details
- NPI number
- 1205865631
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 15988 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,930 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 738 | $72 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 575 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 428 | $82 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 394 | $79 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 284 | $42 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 133 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lisinopril | 337 | 93 |
| Levothyroxine Sodium | 333 | 88 |
| Amlodipine Besylate | 276 | 75 |
| Losartan Potassium | 251 | 66 |
| Atorvastatin Calcium | 239 | 70 |
| Metoprolol Tartrate | 226 | 53 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$508 across 27 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2016-08-01
Frequently asked questions
- What is James Fosnaugh's NPI number?
- James Fosnaugh's National Provider Identifier (NPI) is 1205865631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Fosnaugh's specialty?
- James Fosnaugh is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Fosnaugh located?
- James Fosnaugh's practice location on file with NPPES is 7441 O St, Lincoln, NE 68510-2466.
- What is James Fosnaugh's phone number?
- The practice phone number listed in the NPPES registry for James Fosnaugh is (402) 488-7400.
- Does James Fosnaugh accept Medicare?
- James Fosnaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Fosnaugh's NPI active?
- Yes — James Fosnaugh's NPI (1205865631) is active in the NPPES registry as of the last update on 2016-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.