Svetlana Fomin, MD
NPI 1326219924 · Endocrinology, Diabetes & Metabolism Physician · Phillipsburg, NJ
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Svetlana Fomin, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Phillipsburg, NJ (NPI 1326219924).
Provider details
- NPI number
- 1326219924
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA08122400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
505 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) |
|---|---|---|
| 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 | 207 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 106 | $123 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 93 | $156 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 67 | $32 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 18 | $173 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 114 | 47 |
| Levothyroxine Sodiumbrand: Synthroid | 88 | 28 |
| Semaglutidebrand: Ozempic | 88 | 28 |
| Metformin Hclbrand: Metformin Hcl Er | 81 | 35 |
| Metformin Hcl | 80 | 28 |
| Empagliflozinbrand: Jardiance | 80 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,840 across 93 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
Additional practice locations (2)
- 193 US Highway 9 Ste 1Manalapan, NJ 07726-3015Phone: (732) 903-4005Fax: (616) 226-4685
- 2591 Baglyos Cir Ste C49Bethlehem, PA 18020-8058Phone: (484) 503-7300
Registry dates
- Enumerated
- 2008-03-21
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Svetlana Fomin's NPI number?
- Svetlana Fomin's National Provider Identifier (NPI) is 1326219924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Svetlana Fomin's specialty?
- Svetlana Fomin is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Svetlana Fomin located?
- Svetlana Fomin's practice location on file with NPPES is 755 Memorial Pkwy Ste 302a, Phillipsburg, NJ 08865-2771.
- What is Svetlana Fomin's phone number?
- The practice phone number listed in the NPPES registry for Svetlana Fomin is (484) 526-7300.
- Does Svetlana Fomin accept Medicare?
- Svetlana Fomin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Svetlana Fomin's NPI active?
- Yes — Svetlana Fomin's NPI (1326219924) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.