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DR. MONIQUE HOPE FOX DO
NPI 1245393776
Pediatrics in Spartanburg, SC

Active since December 18, 2006PECOS Enrolled
750 SOUTH CHURCH STREET, SPARTANBURG, SC 29306(864) 582-2111 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Monique Hope Fox Do NPPES

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

DR. MONIQUE HOPE FOX DO (NPI 1245393776) is an individual pediatrics provider in Spartanburg, South Carolina, licensed in South Carolina (962) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245393776
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MONIQUE HOPE FOXCredential: DO
Location Address750 SOUTH CHURCH STREETSpartanburg, SC 29306
Mailing AddressPo Box 5158, Regenesis Health CareSpartanburg, SC 29304 · (864) 582-2411 · Fax (864) 582-7179
Phone(864) 582-2111
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateNovember 10, 2011
✔ NPI 1245393776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · 962✔ Licensed in SC · 968
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
750 SOUTH CHURCH STREET, Spartanburg, SC 29306
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Other Identifiers 2

Medicaid009680SC
Medicare UPINI07028

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Monique Hope Fox Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Monique Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regenesis Organization Community Health Center
Same address
Federally Qualified Health Center (FQHC)
750 S. CHURCH STREET
Spartanburg, SC 29306
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1982248852 (South Carolina)
  • 92 clinicians in this Medicare group
NPI 1194710426 (864) 582-2411

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 29306 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Monique Fox's NPI number?

The NPI number for Monique Fox is 1245393776. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Monique Fox located?

Monique Fox practices at 750 South Church Street, Spartanburg, SC 29306. The listed phone number is (864) 582-2111.

What is Monique Fox's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Monique Fox enrolled in Medicare?

Yes. Monique Fox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monique Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Fox reassigns Medicare benefits to Regenesis Organization Community Health Center (Spartanburg, SC). The 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 Monique Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monique Fox accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Monique 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 Monique Fox was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.