MATTHEW DAVID FOX MD
NPI 1144462342
Surgery in Concord, NC

Active since April 02, 2009PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 MEDICAL PARK DR, STE 430, CONCORD, NC 28025(704) 403-7070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 51 more (54 updates tracked since 2016).

About Matthew David Fox Md NPPES

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

MATTHEW DAVID FOX MD (NPI 1144462342) is an individual surgery provider in Concord, North Carolina, licensed in North Carolina (2013-02413) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144462342
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW DAVID FOXCredential: MD
Location Address200 MEDICAL PARK DR, STE 430Concord, NC 28025-2982
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 2, 2009
Last NPPES UpdateJuly 15, 202454 updates tracked since enumeration
NPI 1144462342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2013-02413
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

200 MEDICAL PARK DR, Concord, NC 28025

Secondary Practice Locations 2

Location 11550 Faulk StMonroe, NC 28112-5086 · Phone (704) 289-3024
Location 2105 Yadkin St, Ste 203Albemarle, NC 28001-3449 · Phone (980) 323-5300

Accepted Insurance

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

Matthew David 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 ID42434433
PECOS Enrollment IDI20140604001209
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services44 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
37 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Surgery
200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 28025
Internal Medicine (Infectious Disease)
200 MEDICAL PARK DR, STE 208, NORTHEAST INFECTIOUS DISEASES
CONCORD, NC 28025
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Physician Assistant
200 MEDICAL PARK DR
CONCORD, NC 28025
Nurse Practitioner
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY
CONCORD, NC 28025
Internal Medicine
200 MEDICAL PARK DR, STE 300
CONCORD, NC 28025
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Internal Medicine
200 MEDICAL PARK DR, STE 550
CONCORD, NC 28025

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 Matthew Fox's NPI number?

The NPI number for Matthew Fox is 1144462342. It was assigned to this individual provider in the NPPES registry on April 2, 2009.

Where is Matthew Fox located?

Matthew Fox practices at 200 Medical Park Dr Ste 430, Concord, NC 28025. The listed phone number is (704) 403-7070.

What is Matthew Fox's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Fox enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Fox accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Matthew 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 Matthew Fox affiliated with any hospitals?

According to CMS data, Matthew Fox is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Matthew Fox was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.