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KENNETH FOX MD
NPI 1164439873
Radiology - Diagnostic Radiology in Charlotte, NC

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
9935D REA RD STE 266, CHARLOTTE, NC 28277(912) 401-9450 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2025, Jul 10, 2019, Jul 11, 2016 (3 updates tracked since 2016).

About Kenneth Fox Md NPPES

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

KENNETH FOX MD (NPI 1164439873) is an individual diagnostic radiology provider in Charlotte, North Carolina, licensed in North Carolina (2013-01741) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1164439873
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKENNETH FOXCredential: MD
Location Address9935D REA RD STE 266Charlotte, NC 28277-6710
Mailing Address9935d Rea Rd Ste 266Charlotte, NC 28277-6710 · (912) 401-9450
Phone(912) 401-9450
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2004
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1164439873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NC · 2013-01741✔ Licensed in SC · 27062✔ Licensed in AL · MD.30241
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9935D REA RD STE 266, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Location 1

Location 14030 Smith Rd Ste 300Cincinnati, OH 45209-1974 · Phone (513) 221-2544 · Fax (513) 221-1320

Other Identifiers 1

Medicaid5918994NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.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

Kenneth 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 ID8224154141
PECOS Enrollment IDI20131008001659, I20170526001042, I20201102002002, I20210524002191, I20210712000414, I20241011000939, I20241121001760, I20241216001762, I20250630001723
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 10

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
3,786 services2,135 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
3,534 services1,992 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
815 services477 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
389 services389 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
389 services389 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
137 services92 patients

Hospital Affiliations CMS Care Compare 2

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Mobridge Regional Hospital - Cah

Critical Access Hospitals · Mobridge, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431325
Location1401 10th Ave WestMobridge, SD 57601 · Walworth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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.

Other Providers at the Same Location NPPES

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

KENNETH H FOX MD PLLC
Radiology (Diagnostic Radiology)
9935D REA RD STE 266
CHARLOTTE, NC 28277
Mecklenburg County (912) 401-9450

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 Kenneth Fox's NPI number?

The NPI number for Kenneth Fox is 1164439873. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Kenneth Fox located?

Kenneth Fox practices at 9935D Rea Rd Ste 266, Charlotte, NC 28277. The listed phone number is (912) 401-9450.

What is Kenneth Fox's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kenneth Fox enrolled in Medicare?

Yes. Kenneth 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 Kenneth Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 16 other insurers list Kenneth 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 Kenneth Fox affiliated with any hospitals?

According to CMS data, Kenneth Fox is affiliated with Avera St Lukes and Mobridge Regional Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Kenneth Fox was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.