DAVID L FOX MD
NPI 1265423834
Psychiatry & Neurology - Psychiatry in Cleveland, OH

Q: What is David Fox's NPI number?

The NPI number for David Fox is 1265423834. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is David Fox's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for David Fox was last updated on January 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

77.32/100

CMS Quality Rating

7265 OLD OAK BLVD, CLEVELAND, OH 44130(440) 816-5790 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About David L Fox Md NPPES

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

DAVID L FOX MD (NPI 1265423834) is an individual psychiatry provider in Cleveland, Ohio, licensed in Ohio (35057216) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1987).

NPPES Registry Identity

NPI1265423834

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDAVID L FOXCredential: MD

Location Address7265 OLD OAK BLVDCleveland, OH 44130-3342

Mailing AddressPo Box 638269Cincinnati, OH 45263-3460 · (440) 816-5790

Phone(440) 816-5790

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1987

Enumeration DateNovember 2, 2005

Last NPPES UpdateJanuary 18, 2021

NPPES CertifiedJanuary 18, 2021

✔ NPI 1265423834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in OH · 35057216

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

7265 OLD OAK BLVD, Cleveland, OH 44130

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Other Identifiers 1

Medicaid0911099OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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

David L Fox Md 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 ID5597834333

PECOS Enrollment IDI20080520000007

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

206 services71 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

168 services75 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

130 services60 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

72 services71 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

62 services30 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.

53 services28 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

52 services37 patients

Psychiatric diagnostic evaluation with medical services 90792

43 services43 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

43 services25 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

34 services29 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.

28 services23 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

28 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360155

Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

77.32/100

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

Scored as part of a group practice

Quality

60.91

Promoting Interoperability

100

Improvement Activities

Cost

63.49

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Other Providers at the Same Location NPPES 17

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

JEFFREY P RISKIN LISW

Social Worker

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-5790

JAMES DROZDA

Counselor (Addiction (Substance Use Disorder))

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-8200

VERONICA GALASZEWSKI NP

Nurse Practitioner (Psychiatric/Mental Health)

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-5790

DEBRA BYRON RN

Registered Nurse

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-8200

CYNTHIA L TONCLER LISW-S

Social Worker (Clinical)

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-5790

SOUTHWEST GENERAL HEALTH CENTER

Psychiatric Unit

7265 OLD OAK BLVD
MIDDLEBURG HTS, OH 44130

Cuyahoga County (440) 816-8179

MELISSA GRONERT RN

Registered Nurse

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-8200

SOUTHWEST GENERAL HEALTH CENTER

Rehabilitation, Substance Use Disorder Unit

7265 OLD OAK BLVD
CLEVELAND, OH 44130

Cuyahoga County (440) 816-8200

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 David Fox's NPI number?

The NPI number for David Fox is 1265423834. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is David Fox located?

David Fox practices at 7265 Old Oak Blvd, Cleveland, OH 44130. The listed phone number is (440) 816-5790.

What is David Fox's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Fox enrolled in Medicare?

Yes. David 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 David Fox accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Providence Health Plan list David 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 David Fox affiliated with any hospitals?

According to CMS data, David Fox is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for David Fox was last updated on January 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.