Kenneth W. Fogarty II, MD
NPI 1396725214ActiveIndividual· Internal Medicine· Gainesville, GA
Internal Medicine (MD) in Gainesville, Georgia, trained at University of Maryland School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $391,142 for 3,980 claims, against $23,313 paid for services in 2024. Lilly USA, LLC reported $33.79 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1396725214 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | Jul 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 041118 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 318 across 10 procedure codes |
| Paid by Medicare | $23,313 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,980 · 8,623 30-day fills |
|---|---|
| Patients | 289 |
| Total drug cost | $391,142 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Maryland School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Internal Medicine |
Hospital affiliations
- Northeast Georgia Medical Center HabershamDemorest, GA
- Northeast Georgia Medical Center, IncGainesville, GA
Industry payments (Open Payments)
- 2025$33.79 · 2 payments from 1 company
- 2024$208.00 · 10 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $33.79 | 2 |
What the 2025 payments were for
- Food and Beverage$33.79 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 96 internal medicine physicians in Gainesville · All internal medicine physicians in Georgia