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TIMOTHY R FOX M.D.
NPI 1104903525
Emergency Medicine in Damariscotta, ME

Active since November 01, 2006PECOS Enrolled
98.06/100
CMS Quality Rating
35 MILES ST., MILES MEDICAL GROUP, DAMARISCOTTA, ME 04543(207) 563-4521(207) 563-3717 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy R Fox M.d. NPPES

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

TIMOTHY R FOX M.D. (NPI 1104903525) is an individual emergency medicine provider in Damariscotta, Maine, licensed in Maine (015735) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104903525
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY R FOXCredential: M.D.
Location Address35 MILES ST., MILES MEDICAL GROUPDamariscotta, ME 04543
Mailing Address35 Miles St., Miles Medical Group - Emergency Dept.Damariscotta, ME 04543 · (207) 563-4521 · Fax (207) 563-3717
Phone(207) 563-4521
Fax(207) 563-3717
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 2, 2008
✔ NPI 1104903525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ME · 015735
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 015735 (ME)
35 MILES ST., Damariscotta, ME 04543
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedMM9426
Medicare UPINH62629
Other930120493Railroad Medicare
Medicare PINUX9131ME
Medicaid432038199ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy R Fox M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04543 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

WENDY S NICHOLS CRNA
Nurse Anesthetist, Certified Registered
35 MILES ST., MILES MEDICAL GROUP
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4511

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 Timothy Fox's NPI number?

The NPI number for Timothy Fox is 1104903525. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Timothy Fox located?

Timothy Fox practices at 35 Miles St. Miles Medical Group, Damariscotta, ME 04543. The listed phone number is (207) 563-4521.

What is Timothy Fox's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Fox enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Fox was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.