Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Basil D. Fossum

Individual provider Specialist · NPI 1821043811

Basil D. Fossum practises Urology in Fort Walton Beach, Florida. Graduated from University of California, San Francisco School of Medicine in 1972, 54 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
54
Trained at
University of California, San Francisco School of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

914B Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone: (850) 226-6572
Fax: (850) 862-8564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME53505 (FL)
Specialist Taxonomy 174400000X · Licence ME53505 (FL)

Record details

NPI number1821043811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2006
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients567
Services billed 14,527 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $14 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Hca Florida Fort Walton-Destin Hospital Hospital · Fort Walton Beach, FL
  • Hca Florida Twin Cities Hospital Hospital · Niceville, FL

Other providers in Fort Walton Beach