THOMAS MICHAEL FOX D.O.
NPI 1215948963
Orthopaedic Surgery in Niceville, FL

Q: What is Thomas Fox's NPI number?

The NPI number for Thomas Fox is 1215948963. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Thomas Fox's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Fox was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 10, 2006PECOS EnrolledAccepts Medicare Assignment

79.26/100

CMS Quality Rating

1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL 32578(850) 897-8081(850) 897-1520 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Thomas Michael Fox D.o. NPPES

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

THOMAS MICHAEL FOX D.O. (NPI 1215948963) is an individual orthopaedic surgery provider in Niceville, Florida, licensed in Florida (OS6530) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Twin Cities Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1215948963

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameTHOMAS MICHAEL FOXCredential: D.O.

Location Address1950 BLUEWATER BLVD, SUITE 100Niceville, FL 32578-3887

Mailing Address1950 Bluewater Blvd, Suite 100Niceville, FL 32578-3887 · (850) 897-8081 · Fax (850) 897-1520

Phone(850) 897-8081

Fax(850) 897-1520

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1984

Enumeration DateAugust 10, 2006

Last NPPES UpdateJanuary 25, 2010

✔ NPI 1215948963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in FL · OS6530

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1950 BLUEWATER BLVD, Niceville, FL 32578

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE55592FL

Medicare PIN80749ZFL

Medicaid371732100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Thomas Michael Fox D.o. 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 ID4082605738

PECOS Enrollment IDI20100208000493

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 28

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

1,680 services19 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

304 services220 patients

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.

271 services229 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

235 services223 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

208 services35 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

185 services167 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.

164 services151 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

132 services20 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

111 services106 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

108 services81 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

107 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

103 services103 patients

Therapy procedure in a group setting 97150

Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.

98 services32 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

77 services74 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

55 services54 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.

42 services42 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

41 services18 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

39 services39 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

36 services35 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

27 services21 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

24 services22 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

20 services20 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

17 services17 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

15 services13 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

15 services15 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

13 services13 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

12 services12 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100054

Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County

Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100122

Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County

Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100292

Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32578 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

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.

79.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.47

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information

80%660 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers25 claims25 services$52.68 avg. paid by Medicare

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier13 claims13 services$50.09 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

3 suppliers80 claims1,443 services$21.68 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$21.84 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$109.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 19

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

DAWN A BROGNANO PT

Physical Therapist

1950 BLUEWATER BLVD, SUITE 101
NICEVILLE, FL 32578

Okaloosa County (850) 897-3334

MELYSSA R DEVENEY PTA

Physical Therapy Assistant

1950 BLUEWATER BLVD, SUITE 101
NICEVILLE, FL 32578

Okaloosa County (850) 897-3334

RUSTIN G SORENSEN PA-C

Physician Assistant (Surgical)

1950 BLUEWATER BLVD, SUITE 100
NICEVILLE, FL 32578

Okaloosa County (850) 897-8081

RONALD HOLTHAUS PT

Physical Therapist

1950 BLUEWATER BLVD, SUITE 101
NICEVILLE, FL 32578

Okaloosa County (850) 897-3334

DAVID DAVIS PT, OCS

Physical Therapist

1950 BLUEWATER BLVD, SUITE 101
NICEVILLE, FL 32578

Okaloosa County (850) 897-3334

MS. ERIN ROBINSON PA-C

Physician Assistant (Surgical)

1950 BLUEWATER BLVD, STE 100
NICEVILLE, FL 32578

Okaloosa County (850) 897-8081

BLUEWATER ORTHOPEDICS PA

Orthopaedic Surgery

1950 BLUEWATER BLVD, SUITE 100
NICEVILLE, FL 32578

Okaloosa County (850) 897-8081

BLUEWATER ORTHOPEDICS, P.A.

Physician Assistant (Surgical)

1950 BLUEWATER BLVD, SUITE 100
NICEVILLE, FL 32578

Okaloosa County (850) 897-8081

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 Thomas Fox's NPI number?

The NPI number for Thomas Fox is 1215948963. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Thomas Fox located?

Thomas Fox practices at 1950 Bluewater Blvd Suite 100, Niceville, FL 32578. The listed phone number is (850) 897-8081.

What is Thomas Fox's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Fox enrolled in Medicare?

Yes. Thomas 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 Thomas Fox accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Thomas 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 Thomas Fox affiliated with any hospitals?

According to CMS data, Thomas Fox is affiliated with Hca Florida Twin Cities Hospital, North Okaloosa Medical Center and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Thomas Fox was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.