DR. BENJAMIN DAVIS FOX M.D.
NPI 1184955734
Neurological Surgery in Clearwater, FL

Q: What is Benjamin Fox's NPI number?

The NPI number for Benjamin Fox is 1184955734. It was assigned to this individual provider in the NPPES registry on January 21, 2010.

Q: What is Benjamin Fox's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Fox was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 21, 2010PECOS EnrolledAccepts Medicare Assignment

400 PINELLAS ST STE 325, CLEARWATER, FL 33756(727) 298-6121(727) 298-6151 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2019, Jun 11, 2019 (2 updates tracked since 2019).

On this page

About Dr. Benjamin Davis Fox M.d. NPPES

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

DR. BENJAMIN DAVIS FOX M.D. (NPI 1184955734) is an individual neurological surgery provider in Clearwater, Florida, licensed in Florida (ME140910) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and is a graduate of Baylor College Of Medicine (2005).

NPPES Registry Identity

NPI1184955734

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. BENJAMIN DAVIS FOXCredential: M.D.

Location Address400 PINELLAS ST STE 325Clearwater, FL 33756-3320

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-1355 · Fax (813) 635-2613

Phone(727) 298-6121

Fax(727) 298-6151

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2005

Enumeration DateJanuary 21, 2010

Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration

✔ NPI 1184955734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in FL · ME140910✔ Licensed in TX · BP20025214✔ Licensed in UT · 8573892-1205

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

400 PINELLAS ST STE 325, Clearwater, FL 33756

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Other Identifiers 1

Medicaid103273000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Benjamin Davis Fox M.d. 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 ID6103004379

PECOS Enrollment IDI20190718003159

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

107 services88 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.

90 services53 patients

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.

60 services58 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services33 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100043

Location601 Main StDunedin, FL 34698 · Pinellas County

Emergency services

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100063

Location6600 Madison StNew Port Richey, FL 34652 · Pasco County

Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100265

Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 9

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

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