DOUGLAS J FOX JR. MD
NPI 1427044924
Neurological Surgery in Austin, TX

Q: What is Douglas Fox's NPI number?

The NPI number for Douglas Fox is 1427044924. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Douglas Fox's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Fox was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

5625 EIGER RD STE 115, AUSTIN, TX 78735(512) 654-4550 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2021, Sep 12, 2019 (2 updates tracked since 2019).

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About Douglas J Fox Jr. Md NPPES

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

DOUGLAS J FOX JR. MD (NPI 1427044924) is an individual neurological surgery provider in Austin, Texas, licensed in Texas (M7192) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Washington University School Of Medicine (1999).

NPPES Registry Identity

NPI1427044924

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDOUGLAS J FOX JR.Credential: MD

Location Address5625 EIGER RD STE 115Austin, TX 78735-8978

Mailing AddressPo Box 844658Dallas, TX 75284-4658

Phone(512) 654-4550

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1999

Enumeration DateSeptember 21, 2005

Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1427044924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in TX · M7192✔ Licensed in AZ · 33547

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

5625 EIGER RD STE 115, Austin, TX 78735

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

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

Douglas J Fox Jr. 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 ID9931149705

PECOS Enrollment IDI20080130000098

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 18

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 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.

138 services138 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.

125 services107 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

115 services36 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

52 services29 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

50 services32 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

45 services43 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

35 services35 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

30 services28 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.

30 services27 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

24 services24 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

23 services14 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

22 services20 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

19 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services16 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Removal of growth of lower spine bone outside spine membrane 63267

This procedure involves the surgical removal of an abnormal growth on the lower spine bone. The growth is located outside the protective membrane of the spine. The aim is to alleviate discomfort and prevent potential complications.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670034

Location300 University BlvdRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670108

Location810 W Highway 71Marble Falls, TX 78654 · Burnet County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670131

Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County

Emergency services

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670136

Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

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Other Providers at the Same Location NPPES 4

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

JENIFER PAGE ACNP

Nurse Practitioner (Acute Care)

5625 EIGER RD STE 115
AUSTIN, TX 78735

Travis County (512) 654-4555

AUSTIN ETIER PA-C

Physician Assistant

5625 EIGER RD STE 115
AUSTIN, TX 78735

Travis County (512) 654-4550

THE ONCOLOGY INSTITUTE TX, A PROFESSIONAL ASSOCIATION

Internal Medicine (Hematology & Oncology)

5625 EIGER RD STE 115
AUSTIN, TX 78735

Travis County (737) 279-5779

JAMES WALDRON M.D.

Neurological Surgery

5625 EIGER RD STE 115
AUSTIN, TX 78735

Travis County (512) 654-4550

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 Douglas Fox's NPI number?

The NPI number for Douglas Fox is 1427044924. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Douglas Fox located?

Douglas Fox practices at 5625 Eiger Rd Ste 115, Austin, TX 78735. The listed phone number is (512) 654-4550.

What is Douglas Fox's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Douglas Fox enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Fox accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Douglas 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 Douglas Fox affiliated with any hospitals?

According to CMS data, Douglas Fox is affiliated with Shannon Medical Center, Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Marble Falls, Baylor Scott & White Medical Center - Buda and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Douglas Fox was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.