Nathaniel Fogel, MD, MS
NPI 1417480542 · Orthopaedic Hand Surgery Physician · Kalispell, MT
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nathaniel Fogel, MD, MS is a Orthopaedic Hand Surgery Physician provider in Kalispell, MT (NPI 1417480542).
Provider details
- NPI number
- 1417480542
- Entity type
- Individual
- Primary specialty
- Orthopaedic Hand Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- MED-PHYS-LIC-118833 (MT)
Specialties & taxonomies
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
9 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
474 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 119 | $89 |
| X-Ray of Finger, Minimum of 2 Views73140 | 62 | $28 |
| Injection Into Tendon Or Ligament20550 | 54 | $50 |
| X-Ray of Wrist, Minimum of 3 Views73110 | 49 | $32 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 43 | $126 |
| Release And/Or Relocation of Hand Nerve64721 | 41 | $393 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 61 | 44 |
| Tramadol Hcl | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$383 across 4 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
- 2017-04-05
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Nathaniel Fogel's NPI number?
- Nathaniel Fogel's National Provider Identifier (NPI) is 1417480542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathaniel Fogel's specialty?
- Nathaniel Fogel is listed in the NPPES registry with a primary specialty of Orthopaedic Hand Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Nathaniel Fogel located?
- Nathaniel Fogel's practice location on file with NPPES is 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160.
- What is Nathaniel Fogel's phone number?
- The practice phone number listed in the NPPES registry for Nathaniel Fogel is (406) 752-6784.
- Does Nathaniel Fogel accept Medicare?
- Nathaniel Fogel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nathaniel Fogel's NPI active?
- Yes — Nathaniel Fogel's NPI (1417480542) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.