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KENNETH A. FOX M.D.
NPI 1235153552
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tucson, AZ

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-9752 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2020, Jul 8, 2019 (2 updates tracked since 2019).

About Kenneth A. Fox M.d. NPPES

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

KENNETH A. FOX M.D. (NPI 1235153552) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Tucson, Arizona, licensed in Texas (L2253) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1991).

NPPES Registry Identity

NPI1235153552
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameKENNETH A. FOXCredential: M.D.
Location Address1501 N CAMPBELL AVETucson, AZ 85724
Mailing Address1501 N Campbell AveTucson, AZ 85724-0001 · (520) 626-9752
Phone(520) 626-9752
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1991
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 5, 20202 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1235153552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in TX · L2253✔ Licensed in CA · G154681
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1501 N CAMPBELL AVE, Tucson, AZ 85724
Open in Google Maps ↗

Secondary Practice Location 1

Location 13020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 966-8030

Other Identifiers 3

Medicaid146137801TX
Other89454STX · Bcbs Prov No
Other741794684TX · Tax Id No

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Kenneth A. 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 ID143253542
PECOS Enrollment IDI20170620000628
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MR. DOUGLAS FRANK LARSON PH.D.
Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pima County (520) 626-6339
MARTIN DEMANT
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-6507
STEPHANIE RUNKE MD
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-2530
ASHLEY AZIZI ASSADI MD
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-7944
MOHAMMED ABBAS MD
Orthopaedic Surgery
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-9245
STUART HAMEROFF MD
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-8888
JOHN GUISTO MD
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-3500
BALDASSARRE STEA MD, PHD
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-7236

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 Kenneth Fox's NPI number?

The NPI number for Kenneth Fox is 1235153552. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kenneth Fox located?

Kenneth Fox practices at 1501 N Campbell Ave, Tucson, AZ 85724. The listed phone number is (520) 626-9752.

What is Kenneth Fox's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Kenneth Fox enrolled in Medicare?

Yes. Kenneth 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 Kenneth Fox accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kenneth 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 Kenneth Fox was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.