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DANITA RENELSA FOX M.D.
NPI 1013236207
Family Medicine in Kingston, PA

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
2 SHARPE STREET, KINGSTON, PA 18704(570) 552-8966(570) 552-8958 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Danita Renelsa Fox M.d. NPPES

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

DANITA RENELSA FOX M.D. (NPI 1013236207) is an individual family medicine provider in Kingston, Pennsylvania, licensed in Pennsylvania (MT196357) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Latrobe.

NPPES Registry Identity

NPI1013236207
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANITA RENELSA FOXCredential: M.D.
Location Address2 SHARPE STREETKingston, PA 18704
Mailing Address54 Woodward DrWilmington, DE 19808-4342 · (302) 561-4308
Phone(570) 552-8966
Fax(570) 552-8958
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 27, 2010
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1013236207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT196357
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2 SHARPE STREET, Kingston, PA 18704
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Secondary Practice Location 1

Location 13876 Route 30Latrobe, PA 15650-5256 · Phone (724) 537-5064

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danita Renelsa Fox M.d. 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 ID9739406307
PECOS Enrollment IDI20231109001931
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Danita Fox reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medexpress Urgent Care, PC-Pennsylvania
1.1 mi
Urgent Care
276 W SIDE MALL
Edwardsville, PA 18704
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1225327547 (570) 283-0791
Medexpress, Inc - Delaware
103 mi
Family Medicine
2722 CONCORD PIKE
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 27 clinicians in this Medicare group
NPI 1255692182 (302) 477-1406
Christiana Care Quality Partners
110 mi
Urgent Care
200 HYGEIA DR
Newark, DE 19713
  • Reassigned Medicare billing, Delaware and Maryland enrollments
  • 113 clinicians in this Medicare group
NPI 1164061867 (302) 273-1701
Medexpress Urgent Care, PC - Virginia
186 mi
Urgent Care
207 GATEWAY DRIVE
Winchester, VA 22603
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1386989689 (540) 535-1029
Greater New Bedford Community Health Center, Inc.
259 mi
Community Health
874 PURCHASE ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 48 clinicians in this Medicare group
NPI 1982607537 (508) 992-6553

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
64 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%89 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%86 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. MAUREEN M LITCHMAN MD
Family Medicine
2 SHARPE STREET
KINGSTON, PA 18704
Luzerne County (570) 552-8900
DR. DEBORAH A SPRING MD
Family Medicine
2 SHARPE STREET
KINGSTON, PA 18704
Luzerne County (570) 491-0126

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 Danita Fox's NPI number?

The NPI number for Danita Fox is 1013236207. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Danita Fox located?

Danita Fox practices at 2 Sharpe Street, Kingston, PA 18704. The listed phone number is (570) 552-8966.

What is Danita Fox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Danita Fox enrolled in Medicare?

Yes. Danita 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.

Which organizations bill Medicare for Danita Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danita Fox reassigns Medicare benefits to 5 organizations: Medexpress Urgent Care, PC-Pennsylvania (Edwardsville, PA), Medexpress, Inc - Delaware (Wilmington, DE), Christiana Care Quality Partners (Newark, DE), Medexpress Urgent Care, PC - Virginia (Winchester, VA) and Greater New Bedford Community Health Center, Inc. (New Bedford, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danita Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danita Fox accept?

Health plans from Anthem Blue Cross and Blue Shield list Danita Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Danita Fox affiliated with any hospitals?

According to CMS data, Danita Fox is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Danita Fox was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.