Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN MICHAEL FOX DDS
NPI 1184605305
Dentist - Oral and Maxillofacial Surgery in Gloversville, NY

Active since November 07, 2005Opted out of Medicare · through Oct 1, 2026
101 E STATE ST, GLOVERSVILLE, NY 12078(518) 725-4216(518) 725-7272 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Michael Fox Dds NPPES

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

JOHN MICHAEL FOX DDS (NPI 1184605305) is an individual oral and maxillofacial surgery provider in Gloversville, New York, licensed in New York (32346) and active in the NPI registry since November 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184605305
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOHN MICHAEL FOXCredential: DDS
Location Address101 E STATE STGloversville, NY 12078-1219
Mailing Address101 E State StGloversville, NY 12078-1219 · (518) 725-4216 · Fax (518) 725-7272
Fax(518) 725-7272
Sole ProprietorNo
Enumeration DateNovember 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1184605305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 32346
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
101 E STATE ST, Gloversville, NY 12078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

John Michael Fox Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12078 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 John Fox's NPI number?

The NPI number for John Fox is 1184605305. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is John Fox located?

John Fox practices at 101 E State St, Gloversville, NY 12078. The listed phone number is (518) 725-4216.

What is John Fox's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Fox enrolled in Medicare?

No. John Fox has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Fox was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.