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DR. JUSTIN P FOX MD, MHS
NPI 1194925743
Plastic Surgery in Bethesda, MD

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
4301 JONES BRIDGE RD DEPT OF, BETHESDA, MD 20814(301) 295-4664 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Apr 6, 2022, Mar 30, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Justin P Fox Md, Mhs NPPES

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

DR. JUSTIN P FOX MD, MHS (NPI 1194925743) is an individual plastic surgery provider in Bethesda, Maryland, licensed in Virginia (0101244227) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Soin Medical Center, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1194925743
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JUSTIN P FOXCredential: MD, MHS
Location Address4301 JONES BRIDGE RD DEPT OFBethesda, MD 20814-4799
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8493
Phone(301) 295-4664
Sole ProprietorYes
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2007
Enumeration DateJuly 23, 2007
Last NPPES UpdateAugust 20, 20245 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1194925743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in VA · 0101244227
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X · License 0101244227 (VA), NOT YET ISSUED (VA)
4301 JONES BRIDGE RD DEPT OF, Bethesda, MD 20814
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Secondary Practice Location 1

Location 13700 Southern Blvd Ste 201Kettering, OH 45429-1265 · Phone (855) 500-2873 · Fax (937) 281-3992

Other Identifiers 1

Medicaid0376539OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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. Justin P Fox Md, Mhs 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 ID8820226582
PECOS Enrollment IDI20191205000984
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.

Hospital Affiliations CMS Care Compare

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

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 2

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

DR. CHRISTOPHER EDWARD JONAS D.O.
Family Medicine (Sports Medicine)
4301 JONES BRIDGE RD DEPT OF
BETHESDA, MD 20814
Montgomery County (301) 295-3630
ALAN LEWIS WILLIAMS M.D.
Family Medicine
4301 JONES BRIDGE RD DEPT OF
BETHESDA, MD 20814
Montgomery County (301) 400-4073

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 Justin Fox's NPI number?

The NPI number for Justin Fox is 1194925743. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Justin Fox located?

Justin Fox practices at 4301 Jones Bridge Rd Dept Of, Bethesda, MD 20814. The listed phone number is (301) 295-4664.

What is Justin Fox's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Justin Fox enrolled in Medicare?

Yes. Justin 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 Justin Fox accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Justin 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 Justin Fox affiliated with any hospitals?

According to CMS data, Justin Fox is affiliated with Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Fox was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.