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DR. DONNA MARIE FOX MD
NPI 1104847128
Pediatrics in Lafayette, LA

Active since July 23, 2006PECOS Enrolled
4650 AMBASSADOR CAFFERY PKWY STE 204, LAFAYETTE, LA 70508(337) 504-5200(337) 504-5150 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 2, 2021, Jun 23, 2017 (3 updates tracked since 2017).

About Dr. Donna Marie Fox Md NPPES

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

DR. DONNA MARIE FOX MD (NPI 1104847128) is an individual pediatrics provider in Lafayette, Louisiana, licensed in Louisiana (019491) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1104847128
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. DONNA MARIE FOXCredential: MD
Location Address4650 AMBASSADOR CAFFERY PKWY STE 204Lafayette, LA 70508-6926
Mailing Address4650 Ambassador Caffery Pkwy Ste 204Lafayette, LA 70508-6926 · (337) 504-5200 · Fax (337) 504-5150
Phone(337) 504-5200
Fax(337) 504-5150
Sole ProprietorYes
Enumeration DateJuly 23, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1104847128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 019491
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4650 AMBASSADOR CAFFERY PKWY STE 204, Lafayette, LA 70508
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Secondary Practice Location 1

Location 14540 Ambassador Caffery Pkwy Bldg D Ste C200Lafayette, LA 70508 · Phone (337) 504-5200 · Fax (337) 504-5150

Other Identifiers 1

Medicaid1092438LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donna Marie Fox Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Donna Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lourdes Physician Group LLC
0.6 mi
Family Medicine
4801 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70508
  • Reassigned Medicare billing, Louisiana enrollment
  • 304 clinicians in this Medicare group
NPI 1437405883 (337) 470-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Donna Fox's NPI number?

The NPI number for Donna Fox is 1104847128. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Donna Fox located?

Donna Fox practices at 4650 Ambassador Caffery Pkwy Ste 204, Lafayette, LA 70508. The listed phone number is (337) 504-5200.

What is Donna Fox's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donna Fox enrolled in Medicare?

Yes. Donna Fox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Fox reassigns Medicare benefits to Lourdes Physician Group LLC (Lafayette, LA). The 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 Donna Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Fox accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Donna 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.

When was this NPI record last updated?

The NPPES record for Donna Fox was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.