DR. RICHARD JAY FOX MD
NPI 1295818474
Surgery in Boulder, CO

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
4743 ARAPAHOE AVE, #102, BOULDER, CO 80303(303) 449-3642(303) 440-7298 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Jay Fox Md NPPES

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

DR. RICHARD JAY FOX MD (NPI 1295818474) is an individual surgery provider in Boulder, Colorado, licensed in Colorado (40751) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Medicine And Surgery (1997).

NPPES Registry Identity

NPI1295818474
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RICHARD JAY FOXCredential: MD
Location Address4743 ARAPAHOE AVE, #102Boulder, CO 80303-1113
Mailing Address4743 Arapahoe Ave, #102Boulder, CO 80303-1113 · (303) 449-3642 · Fax (303) 440-7298
Fax(303) 440-7298
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1997
Enumeration DateOctober 23, 2006
Last NPPES UpdateFebruary 19, 2020
NPI 1295818474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CO · 40751
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4743 ARAPAHOE AVE, Boulder, CO 80303

Other Identifiers 2

Medicaid73459879CO
OtherFOF60580Blue Cross Blue Shield

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. Richard Jay 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 ID7911092028
PECOS Enrollment IDI20071004000560
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 16

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.

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.
217 services156 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
110 services110 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.
84 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 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.
68 services58 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.
47 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Nurse Practitioner (Acute Care)
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 80303
Specialist
4743 ARAPAHOE AVE, SUITE104
BOULDER, CO 80303
Clinic/Center (Ambulatory Surgical)
4743 ARAPAHOE AVE, STE 101
BOULDER, CO 80303
Surgery
4743 ARAPAHOE AVE, SUITE 100
BOULDER, CO 80303
Physician Assistant (Medical)
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 80303
Physician Assistant
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 80303
Urology
4743 ARAPAHOE AVE, SUITE 104
BOULDER, CO 80303
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
4743 ARAPAHOE AVE, STE 201
BOULDER, CO 80303

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 Richard Fox's NPI number?

The NPI number for Richard Fox is 1295818474. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Richard Fox located?

Richard Fox practices at 4743 Arapahoe Ave #102, Boulder, CO 80303. The listed phone number is (303) 449-3642.

What is Richard Fox's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Fox enrolled in Medicare?

Yes. Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Fox was last updated on February 19, 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.