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CAROL ANN FOX N.P.
NPI 1457395972
Nurse Practitioner - Adult Health in Dartmouth, MA

Active since June 15, 2006PECOS Enrolled
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747(508) 996-3991 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Ann Fox N.p. NPPES

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

CAROL ANN FOX N.P. (NPI 1457395972) is an individual adult health provider in Dartmouth, Massachusetts, licensed in Massachusetts (214643) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1457395972
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROL ANN FOXCredential: N.P.
Location Address535 FAUNCE CORNER RDDartmouth, MA 02747-1242
Mailing Address535 Faunce Corner RdDartmouth, MA 02747-1242 · (508) 996-3991
Phone(508) 996-3991
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1457395972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 214643
535 FAUNCE CORNER RD, Dartmouth, MA 02747
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Ann Fox N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395709281
PECOS Enrollment IDI20041119000422
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 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.

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.
571 services480 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
558 services463 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
270 services240 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.
170 services159 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%548 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%942 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,561 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,192 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
51%1,104 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%221 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
91%1,978 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%1,106 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%1,904 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 398 patients
94%398 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%1,978 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
78%1,978 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%1,978 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JACK A HOWARD MD
Internal Medicine (Cardiovascular Disease)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
SOUTH COAST ORTHOPEDIC TECHNOLOGY
Prosthetic/Orthotic Supplier
535 FAUNCE CORNER RD, SUITE 201
N DARTMOUTH, MA 02747
Bristol County (508) 998-7268
DR. MARIA PACHECO RUMSEY MD
Internal Medicine (Cardiovascular Disease)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
EILEEN PHANEUF C.C.C.-SLP
Speech-Language Pathologist
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
JENNIFER SADECK
Nurse Practitioner (Acute Care)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
FRANCINE MITCHELL AUD
Audiologist
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
STEPHEN LEIGHTON KEITH M.D.
Surgery (Vascular Surgery)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
HEATHER DUFOUR FNP
Nurse Practitioner (Family)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991

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 Carol Fox's NPI number?

The NPI number for Carol Fox is 1457395972. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Carol Fox located?

Carol Fox practices at 535 Faunce Corner Rd, Dartmouth, MA 02747. The listed phone number is (508) 996-3991.

What is Carol Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carol Fox enrolled in Medicare?

Yes. Carol Fox is registered in the Medicare PECOS enrollment system.

What insurance does Carol Fox accept?

Health plans from Anthem Blue Cross and Blue Shield list Carol 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 Carol Fox affiliated with any hospitals?

According to CMS data, Carol Fox is affiliated with Saint Anne's Hospital.

When was this NPI record last updated?

The NPPES record for Carol Fox was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.