Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL FABIAN FOX M.D.
NPI 1275529653
Radiology - Vascular & Interventional Radiology in Waukesha, WI

Q: What is Paul Fox's NPI number?

The NPI number for Paul Fox is 1275529653. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Paul Fox's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Paul Fox was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 September 21, 2005PECOS Enrolled

725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-2400(262) 928-7621 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Paul Fabian Fox M.d. NPPES

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

DR. PAUL FABIAN FOX M.D. (NPI 1275529653) is an individual vascular & interventional radiology provider in Waukesha, Wisconsin, licensed in Wisconsin (36928-020) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Pewaukee.

NPPES Registry Identity

NPI1275529653

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. PAUL FABIAN FOXCredential: M.D.

Location Address725 AMERICAN AVEWaukesha, WI 53188-5031

Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-2400 · Fax (262) 928-7621

Phone(262) 928-2400

Fax(262) 928-7621

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1994

Enumeration DateSeptember 21, 2005

Last NPPES UpdateOctober 30, 2026

NPPES CertifiedOctober 30, 2026

✔ NPI 1275529653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in WI · 36928-020

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 36928-20 (WI)

725 AMERICAN AVE, Waukesha, WI 53188

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Secondary Practice Location 1

Location 1N15W28300 Golf RdPewaukee, WI 53072-4800 · Phone (262) 303-5055 · Fax (262) 303-5057

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Fabian 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 ID8224113733

PECOS Enrollment IDI20080529000872

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 Reassignments

Medicare enrollment records show Paul Fox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Waukesha S.C.

Same address

Diagnostic Radiology

725 AMERICAN AVE
Waukesha, WI 53188

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Radiology Waukesha Sc
35 clinicians in this Medicare group

NPI 1730175258 (262) 928-2400

Prohealth Medical Group Inc

Same address

Family Medicine

721 AMERICAN AVE, SUITE 310
Waukesha, WI 53188

Reassigned Medicare billing, Wisconsin enrollment
528 clinicians in this Medicare group

NPI 1629225677 (262) 928-4880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

1,450 services12 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

205 services197 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

87 services87 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

71 services68 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

70 services65 patients

X-ray of chest, 2 views 71046

65 services63 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

39 services37 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

38 services37 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

37 services37 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.

35 services31 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

26 services25 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

25 services25 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

21 services21 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

20 services19 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

18 services18 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

17 services17 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.

15 services15 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

15 services15 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

14 services14 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

13 services13 patients

Ct scan of blood vessels of chest with contrast 71275

13 services13 patients

X-ray of foot, minimum of 3 views 73630

13 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

13 services13 patients

Insertion of stent in groin artery, initial vessel 37221

A stent is a small, mesh tube that's used to treat narrow or weak arteries. In this procedure, a stent is placed in your groin artery to help keep it open and improve blood flow. It's inserted through a small incision and guided to the problem area.

12 services12 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.

12 services12 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

12 services12 patients

X-ray of hip, 2-3 views 73502

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520062

Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County

Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520116

Location125 Hospital DriveWatertown, WI 53098 · Dodge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

MS. NATASHA JEAN PINKERTON LCSW

Social Worker (Clinical)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

DR. FRANCISCO PEREZ M.D.

Anesthesiology

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 544-2011

ANNETTE QUINN NP

Nurse Practitioner (Obstetrics & Gynecology)

725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188

Waukesha County (262) 928-3500

ELIZABETH ROSE LEMM PA-C

Physician Assistant

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

DR. JASON GEORGE ULRICHS M.D.

Anesthesiology

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 787-6700

DAWN MICHELLE GOODREAU NNP-BC, APNP

Nurse Practitioner (Neonatal)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (210) 685-0887

DR. ALYSSA JELINEK

Nurse Practitioner (Neonatal)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

TIFFANY BOWDEN PA

Physician Assistant

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

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 Paul Fox's NPI number?

The NPI number for Paul Fox is 1275529653. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Paul Fox located?

Paul Fox practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-2400.

What is Paul Fox's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Paul Fox enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Fox reassigns Medicare benefits to 2 organizations: Radiology Waukesha S.C. (Waukesha, WI) and Prohealth Medical Group Inc (Waukesha, WI). Each 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 Paul Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Fox accept?

Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Paul 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 Paul Fox affiliated with any hospitals?

According to CMS data, Paul Fox is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Fox was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.