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BRADLEY P FOX MD
NPI 1336124247
Family Medicine in Erie, PA

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
3413 CHERRY ST, ERIE, PA 16508(814) 868-9828(814) 868-8561 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2020, Jun 22, 2020 (2 updates tracked since 2020).

About Bradley P Fox Md NPPES

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

BRADLEY P FOX MD (NPI 1336124247) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD050885L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of State University Of Ny Upstate Medical University (1991).

NPPES Registry Identity

NPI1336124247
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRADLEY P FOXCredential: MD
Location Address3413 CHERRY STErie, PA 16508-2678
Mailing Address3413 Cherry StErie, PA 16508-2678 · (814) 868-9828 · Fax (814) 868-8561
Phone(814) 868-9828
Fax(814) 868-8561
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1991
Enumeration DateDecember 13, 2005
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1336124247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD050885L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3413 CHERRY ST, Erie, PA 16508
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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

Bradley P 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 ID8628977170
PECOS Enrollment IDI20040105000478
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 10

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 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.
362 services225 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
184 services184 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
71 services70 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
60 services60 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.
22 services20 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers17 claims30 services$5.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$15.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$81.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

AMY LOUISE HAMILTON PSYD
Counselor (Mental Health)
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 868-9828
DR. LINDA L YOUNG M.D.
Family Medicine
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 860-5970
SARAH ANN PATSY PA-C
Physician Assistant (Medical)
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 868-9828
SAINT VINCENT MEDICAL EDUCATION AND
Non-Pharmacy Dispensing Site
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 868-9828
BONNIE WILLIAMS M.D.
Family Medicine
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 868-9828
DR. DEBORAH A RANISH M.D.
Family Medicine
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 860-5970
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Family Medicine
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 860-5970
LILY BRAK
Physician Assistant
3413 CHERRY ST
ERIE, PA 16508
Erie County (814) 868-9828

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 Bradley Fox's NPI number?

The NPI number for Bradley Fox is 1336124247. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Bradley Fox located?

Bradley Fox practices at 3413 Cherry St, Erie, PA 16508. The listed phone number is (814) 868-9828.

What is Bradley Fox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bradley Fox enrolled in Medicare?

Yes. Bradley 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.

Is Bradley Fox affiliated with any hospitals?

According to CMS data, Bradley Fox is affiliated with Saint Vincent Hospital and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Bradley Fox was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.