Doctor profile · Federal record
Dr. Basil Fossum
Urology Physician · Specialist · Fort Walton Beach, FL
- NPI 1821043811
- MIPS 0.0 / 100 · 2023
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
914B Mar Walt Dr
Fort Walton Beach, FL 325476706
(850) 226-6572
fax (850) 862-8564 - Mailing address
-
914 Mar Walt Dr Ste B
Fort Walton Beach, FL 325476706
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- January 5, 2026
- Specialty taxonomy
- 208800000X — NUCC code
- State license (1)
- Florida #ME53505
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821043811. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,785
Distinct HCPCS
10
Medicare allowed
$136,821
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 400 | 282 | $88 | |
81001 |
Manual urinalysis test with examination using microscope, automated | 388 | 308 | $3 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 383 | 342 | $125 | |
J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg | 115 | 19 | $171 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 111 | 68 | $55 | |
96372 |
Injection of drug or substance under skin or into muscle | 84 | 23 | $14 | |
36415 |
Insertion of needle into vein for collection of blood sample | 72 | 60 | $8 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 53 | 45 | $22 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $164 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 41 | 35 | $232 |
In context: peer comparison
Among 4 peers in Fort Walton Beach Urology Physician, average services per provider: 77. This provider delivers 23× the peer median.Open Payments
Industry payments received
All-time total
$103
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, INC. | 2 | $34.23 | |
| Sumitomo Pharma America, INC. | 2 | $33.64 | |
| Abc Home Medical Supply, INC. | 1 | $17.41 | |
| Hollister Incorporated | 1 | $17.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
984
Patients
298
Total drug cost
$198,556
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 345 | 111 | $7,795 |
| Finasteride | Generic | 294 | 92 | $5,480 |
| Ciprofloxacin Hcl | Generic | 57 | 40 | $614 |
| Nitrofurantoin (Nitrofurantoin Macrocrystal) | Brand | 37 | 15 | $2,735 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 36 | 15 | $555 |
| Dutasteride | Generic | 35 | 12 | $1,989 |
| Oxybutynin Chloride | Generic | 35 | 13 | $1,328 |
| Tolterodine Tartrate ER (Tolterodine Tartrate) | Brand | 25 | 0 | $4,078 |
| Gemtesa (Vibegron) | Brand | 24 | 0 | $29,251 |
| Oxybutynin Chloride ER (Oxybutynin Chloride) | Brand | 20 | 0 | $582 |
Frequently asked questions
What is Dr. Basil Fossum's medical specialty?
Dr. Basil Fossum practices Urology Physician in Fort Walton Beach, FL.
Where does Dr. Basil Fossum practice?
Dr. Basil Fossum practices at 914B Mar Walt Dr, Fort Walton Beach, FL 325476706. Office phone: 8502266572.
What is Dr. Basil Fossum's NPI?
Dr. Basil Fossum's National Provider Identifier (NPI) is 1821043811, issued by NPPES.
What procedures does Dr. Basil Fossum commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Manual urinalysis test with examination using microscope, automated (HCPCS 81001); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.