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ROBERT E FOX MD
NPI 1003853268
Internal Medicine in Westerly, RI

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
268 POST RD, SUITE 203, WESTERLY, RI 02891(401) 604-2530(401) 604-2560 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2017, Jan 21, 2016 (2 updates tracked since 2016).

About Robert E Fox Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT E FOX MD (NPI 1003853268) is an individual internal medicine provider in Westerly, Rhode Island, licensed in Rhode Island (MD09837) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1003853268
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT E FOXCredential: MD
Location Address268 POST RD, SUITE 203Westerly, RI 02891-6600
Mailing AddressPo Box 229Wakefield, RI 02880-0229 · (401) 788-3929 · Fax (401) 783-1872
Phone(401) 604-2530
Fax(401) 604-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 10, 20172 updates tracked since enumeration
✔ NPI 1003853268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD09837
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License RI9837 (RI)
268 POST RD, Westerly, RI 02891
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Other Identifiers 2

OtherP00015916RI · Railroad Medicare
Medicare UPING72029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert E Fox Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082655295
PECOS Enrollment IDI20101201000035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
251 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
145 services107 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02891 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers28 claims61 services$6.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims38 services$2.22 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims21 services$201.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN BYRA
Physical Therapist
268 POST RD
WESTERLY, RI 02891
Washington County (401) 777-7000
BETHANY KNORR PA-C
Physician Assistant (Medical)
268 POST RD
WESTERLY, RI 02891
Washington County (401) 604-2500
SILVER SPRING HEALTH CARE MANAGEMENT, INC.
Internal Medicine
268 POST RD
WESTERLY, RI 02891
Washington County (401) 604-2500
THOMAS GERRISH DPT
Physical Therapist
268 POST RD
WESTERLY, RI 02891
Washington County (401) 777-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Fox's NPI number?

The NPI number for Robert Fox is 1003853268. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Robert Fox located?

Robert Fox practices at 268 Post Rd Suite 203, Westerly, RI 02891. The listed phone number is (401) 604-2530.

What is Robert Fox's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Fox enrolled in Medicare?

Yes. Robert Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Robert Fox affiliated with any hospitals?

According to CMS data, Robert Fox is affiliated with South County Hospital Inc, The Miriam Hospital and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Robert Fox was last updated on February 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.