DR. JUSTIN P FOX MD, MHS
NPI 1194925743
Plastic Surgery in Bethesda, MD
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, maintains a secondary practice location in Kettering, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Fox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 clinicians in this Medicare group
Toledo, OH 43617
- Reassigned Medicare billing, Ohio enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
BETHESDA, MD 20814
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.
Which organizations bill Medicare for Justin Fox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fox reassigns Medicare benefits to 2 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH) and Peko LLC (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Fox accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer 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.
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 2 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.
# Dr. Justin P Fox, MD, MHS · NPI 1194925743
Plastic Surgery physician in Bethesda, Maryland. Individual provider, active in the CMS NPPES registry since July 23, 2007.
## Identity
- **NPI:** 1194925743 (Entity type: Individual)
- **Enumerated:** July 23, 2007
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 0101244227 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4301 JONES BRIDGE RD DEPT OF, Bethesda, MD 20814-4799
- **Phone:** (301) 295-4664
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kettering Independent Medical Group Inc (NPI 1629387865, Miamisburg, OH); Peko LLC (NPI 1871357533, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2007
## Record status
- **NPPES last updated:** August 20, 2024
- **Other identifiers:** Medicaid 0376539 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1194925743) · Data from the CMS NPPES public registry.