PETER FOX DO
NPI 1326435504
Internal Medicine in Springfield, OR

Q: What is Peter Fox's NPI number?

The NPI number for Peter Fox is 1326435504. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Q: What is Peter Fox's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Fox was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment

91.4/100

CMS Quality Rating

1460 G ST, SPRINGFIELD, OR 97477(541) 726-4400 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2022, Feb 8, 2020 (2 updates tracked since 2020).

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About Peter Fox Do NPPES

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

PETER FOX DO (NPI 1326435504) is an individual internal medicine provider in Springfield, Oregon, licensed in Oregon (DO193931) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Western University Of Health Sciences College Of Dental Med (2016).

NPPES Registry Identity

NPI1326435504

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePETER FOXCredential: DO

Location Address1460 G STSpringfield, OR 97477-4112

Mailing Address1460 G StSpringfield, OR 97477-4112 · (541) 726-4400

Phone(541) 726-4400

Sole ProprietorYes

Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2016

Enumeration DateApril 24, 2015

Last NPPES UpdateMarch 21, 20222 updates tracked since enumeration

NPPES CertifiedMarch 21, 2022

✔ NPI 1326435504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · DO193931

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1460 G ST, Springfield, OR 97477

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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

Peter Fox Do 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 ID4880926385

PECOS Enrollment IDI20191104000328

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 6

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.

165 services86 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services79 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

75 services72 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

50 services33 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.

23 services23 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.

18 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380020

Location1460 G StreetSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381302

Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County

Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381314

Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97477 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

91.4/100

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

Scored as part of a group practice

Quality

95.63

Promoting Interoperability

100

Improvement Activities

Cost

68.32

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.

LEAH DANIELLE HOLLINGSWORTH

Physician Assistant