DR. GREGORY M. FOX M.D.
NPI 1225070717
Ophthalmology in Lenexa, KS

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8600 QUIVIRA RD STE 100, LENEXA, KS 66215(913) 831-7400(913) 831-7409 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Jan 11, 2022, Sep 10, 2021 (3 updates tracked since 2021).

About Dr. Gregory M. Fox M.d. NPPES

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

DR. GREGORY M. FOX M.D. (NPI 1225070717) is an individual ophthalmology provider in Lenexa, Kansas, licensed in Kansas (04-27847) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1225070717
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GREGORY M. FOXCredential: M.D.
Location Address8600 QUIVIRA RD STE 100Lenexa, KS 66215-2857
Mailing Address8600 Quivira Rd Ste 100Lenexa, KS 66215-2857 · (913) 831-7400 · Fax (913) 831-7409
Fax(913) 831-7409
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 26, 20223 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1225070717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in KS · 04-27847 Licensed in MI · 4301051175 Licensed in MO · 116603
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 0427847 (MO), 116603 (KS), 4301051175 (MI)
8600 QUIVIRA RD STE 100, Lenexa, KS 66215

Other Identifiers 5

Other180045254MO · Railroad Medicare
Other25164030MO · Blue Cross Blue Shield Of
Medicaid2003811179MO
Other102473KS · Blue Cross Blue Shield Of
Other180046103KS · Railroad Medicare

Accepted 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. Gregory M. 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 ID1759319981
PECOS Enrollment IDI20050729000392, I20080513000221
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 21

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
23,100 services90 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
3,493 services1,108 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,634 services289 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,511 services512 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
1,099 services46 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
529 services439 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66215 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215
Ophthalmology
8600 QUIVIRA RD STE 100
LENEXA, KS 66215

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 Gregory Fox's NPI number?

The NPI number for Gregory Fox is 1225070717. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Gregory Fox located?

Gregory Fox practices at 8600 Quivira Rd Ste 100, Lenexa, KS 66215. The listed phone number is (913) 831-7400.

What is Gregory Fox's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gregory Fox enrolled in Medicare?

Yes. Gregory 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 Gregory Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Gregory 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 Gregory Fox affiliated with any hospitals?

According to CMS data, Gregory Fox is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Gregory Fox was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.