2026 NPPES data Family Medicine Physician NPI 1467652347 M.D
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SUMIT FOGLA, M.D

Family Medicine Physician in AUGUSTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 200 beneficiaries · Family Medicine Physician avg: 3K
Industry payments
$66.7
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUMIT FOGLA, M.D filed 1,342 Medicare Part D claims in 2023 as a Family Medicine Physician in AUGUSTA, Georgia.

1K
Part D claims, 2023
$66.7
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SUMIT FOGLA, M.D's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,342 Top 21% higher than 79% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). This entry sits in this band. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

SUMIT FOGLA, M.D practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SUMIT FOGLA, M.D?

Quality data not reported

NPI registry status

Active

Issued 07/19/2007

NPI 1467652347

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,342 61% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Family Medicine Physician share within Georgia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SUMIT FOGLA, M.D appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D credentials at 1120 15TH ST, AUGUSTA, GA, 30912, with a listed phone of (706) 721-8623. NPI 1467652347 was issued on 07/19/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOGLA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,342 prescription claims written by this provider, covering 200 Medicare beneficiaries and totaling roughly $233K in drug spend, with an opioid prescribing rate of 2.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1120 15TH ST
AUGUSTA, GA 30912

Provider Details

NPI 1467652347
Specialty Family Medicine Physician
Credentials M.D
Gender Male
NPI Issued 07/19/2007

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SUMIT FOGLA, M.D. Source: openpaymentsdata.cms.gov.

Total received

$67

Largest payer

PFIZER INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,342
Total Claims
$233K
Total Drug Cost
200
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,876
Total Day Supply
84,689
Generic Drug Cost
$26K
Opioid Claims
29 (2.2% rate)

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
1.51
Gender Split
67% female / 34% male
Age Distribution
<65: 60, 65-74: 84, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SUMIT FOGLA, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
71
Metformin Hcl
56
Atorvastatin Calcium
48
Losartan Potassium
48
Lisinopril
46
Diclofenac Sodium
39
Ozempic
Semaglutide
38
Gabapentin
32
Fluticasone Propionate
27
Hydrochlorothiazide
27

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How SUMIT FOGLA, M.D fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

SUMIT FOGLA, M.D's 1,342 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as FOGLA.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUMIT FOGLA, M.D's specialty?
SUMIT FOGLA, M.D specializes in Family Medicine Physician and practices in AUGUSTA, Georgia. Credentials: M.D.
How much does SUMIT FOGLA, M.D prescribe under Medicare Part D?
In 2023, SUMIT FOGLA, M.D wrote 1,342 Medicare Part D claims totaling $233K in drug costs for 200 beneficiaries.
Where is SUMIT FOGLA, M.D located?
SUMIT FOGLA, M.D is located at 1120 15TH ST, AUGUSTA, GA, 30912. Phone: (706) 721-8623.
What is SUMIT FOGLA, M.D's NPI number?
SUMIT FOGLA, M.D's National Provider Identifier (NPI) is 1467652347, issued on 07/19/2007.
Does SUMIT FOGLA, M.D prescribe opioids?
Yes, SUMIT FOGLA, M.D had 29 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does SUMIT FOGLA, M.D prescribe most often?
Based on 2023 Medicare Part D data, SUMIT FOGLA, M.D's most frequently prescribed drugs include Amlodipine Besylate, Metformin Hcl, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUMIT FOGLA, M.D accept Medicare?
SUMIT FOGLA, M.D appears in CMS Medicare data with 1,342 Part D claims and 200 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUMIT FOGLA, M.D's credentials?
SUMIT FOGLA, M.D's NPI is 1467652347 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology