IndividualActiveMedicare EnrolledCan Order/Refer

Basil D. Fossum

Urology

NPI: 1821043811Fort Walton Beach, Florida, 32547(850) 226-6572Male

About Basil D. Fossum

Basil D. Fossum is a male healthcare professional specializing in Urology, registered under National Provider Identifier (NPI) number 1821043811. Basil D. Fossum received his medical education at UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE, graduating in 1972.

Their primary practice is located at 914B MAR WALT DR, Fort Walton Beach, Florida 32547. Patients can reach the office at (850) 226-6572. Basil D. Fossum is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Under the Merit-based Incentive Payment System (MIPS), Basil D. Fossum achieved a quality score of 0.0 out of 100 for 2023, reflecting below-average clinical performance. The quality category score is 0.0/100.

Basil D. Fossum received $346 in Medicare payments in 2018 across 29 claims. Basil D. Fossum has been NPI-registered since 2006.

Key Metrics

MIPS Quality Score

Merit-based Incentive Payment System score for 2023. Satisfactory performance.

Quality Category Score: 0.0/100

Medicare Payments

$346.23

Year 2018

Payment Count

Year 2018

Rx Claims

1,089

$212,669.63

Practice Locations

Doctor Details

Identity & Credentials

NPI Number: 1821043811
Entity Type: Individual
First Name: Basil
Last Name: Fossum
Gender: Male
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year: 1972
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 914B MAR WALT DR
City: Fort Walton Beach
State: Florida
ZIP: 32547-6706
Country: United States
Phone: (850) 226-6572
Fax: (850) 862-8564

Specialty & Taxonomy

Primary Specialty: Urology
Classification: Urology
Taxonomy Code: 208800000X

NPI Registration

Enumeration Date: May 24, 2006
Last Updated: Jan 5, 2026
Certification Date: Jan 5, 2026

Mailing Address

Address: 914 MAR WALT DR STE B
City: FORT WALTON BEACH
State: FL
ZIP: 325476706

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Basil D. Fossum's NPI number?

Basil D. Fossum's National Provider Identifier (NPI) is 1821043811. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Basil D. Fossum specialize in?

Basil D. Fossum specializes in Urology. They received their medical education at UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE (class of 1972).

Where is Basil D. Fossum located?

Basil D. Fossum practices at 914B MAR WALT DR, Fort Walton Beach, Florida 32547. You can reach them by phone at (850) 226-6572.

Does Basil D. Fossum accept Medicare?

Yes, Basil D. Fossum is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Basil D. Fossum offer telehealth or virtual visits?

Basil D. Fossum does not currently offer telehealth services. In-person visits are required at their practice location.

What is Basil D. Fossum's quality rating?

Basil D. Fossum has a MIPS quality score of 0.0 out of 100 for 2023. This reflects satisfactory performance.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Basil D. Fossum is 1821043811.