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DR. MATTHEW JOHN FOX M.D.
NPI 1306879218
Specialist in Centerville, OH

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
77.05/100
CMS Quality Rating
9985 DAYTON LEBANON PIKE, CENTERVILLE, OH 45458(937) 886-2980(937) 886-2982 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew John Fox M.d. NPPES

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

DR. MATTHEW JOHN FOX M.D. (NPI 1306879218) is an individual specialist in Centerville, Ohio, licensed in Ohio (35-06-8257-F) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1992).

NPPES Registry Identity

NPI1306879218
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MATTHEW JOHN FOXCredential: M.D.
Location Address9985 DAYTON LEBANON PIKECenterville, OH 45458
Mailing Address9985 Dayton Lebanon PikeCenterville, OH 45458 · (937) 886-2980 · Fax (937) 886-2982
Phone(937) 886-2980
Fax(937) 886-2982
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1992
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306879218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35-06-8257-F
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9985 DAYTON LEBANON PIKE, Centerville, OH 45458
Open in Google Maps ↗

Other Identifiers 6

Other310961569031OH · Caresource
Medicare UPINH36963OH
Medicaid2401681OH
Medicare ID-Type UnspecifiedF04108441OH
OtherD68257OH · Humana/choice Care
Other310961569-00OH · Workers Comp.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Matthew John 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 ID2264581818
PECOS Enrollment IDI20101118000098
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 Matthew Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Plastic Surgery Institute Of Dayton, Inc
Same address
Specialist
9985 DAYTON LEBANON PIKE
Centerville, OH 45458
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1740204460 (937) 886-2980

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 7

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
53 services53 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.
44 services33 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services18 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642
This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
17 services12 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

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.

77.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability73
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. STEVEN PAUL SCHMIDT M.D.
Specialist
9985 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458
Montgomery County (937) 886-2980
DR. JASON THOMAS HEDRICK M.D,
Surgery
9985 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458
Montgomery County (937) 305-5012
DR. ANDREW JAMES PARRISH MD
Plastic Surgery
9985 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458
Montgomery County (937) 886-2980
PLASTIC SURGERY INSTITUTE OF DAYTON, INC
Specialist
9985 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458
Montgomery County (937) 886-2980
PSI SURGERY CENTER, LLC.
Clinic/Center (Medical Specialty)
9985 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458
Montgomery County (937) 886-2985

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 Matthew Fox's NPI number?

The NPI number for Matthew Fox is 1306879218. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Matthew Fox located?

Matthew Fox practices at 9985 Dayton Lebanon Pike, Centerville, OH 45458. The listed phone number is (937) 886-2980.

What is Matthew Fox's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Matthew Fox enrolled in Medicare?

Yes. Matthew 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 organization bills Medicare for Matthew Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fox reassigns Medicare benefits to Plastic Surgery Institute Of Dayton, Inc (Centerville, OH). 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 Matthew Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Matthew 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 Matthew Fox affiliated with any hospitals?

According to CMS data, Matthew Fox is affiliated with Miami Valley Hospital, Kettering Health Main Campus and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Matthew Fox was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.