STEVEN R. FOX M.D.
NPI 1467666040
Internal Medicine - Gastroenterology in Muskegon, MI

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
1675 LEAHY ST, SUITE 324B, MUSKEGON, MI 49442(231) 726-5075(231) 722-1827 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Steven R. Fox M.d. NPPES

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

STEVEN R. FOX M.D. (NPI 1467666040) is an individual gastroenterology provider in Muskegon, Michigan, licensed in Michigan (4301080390) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Chicago College Of Medicine And Surgery (2002).

NPPES Registry Identity

NPI1467666040
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSTEVEN R. FOXCredential: M.D.
Location Address1675 LEAHY ST, SUITE 324BMuskegon, MI 49442-5500
Mailing AddressPo Box 1847Muskegon, MI 49443-1847 · (231) 727-4444 · Fax (231) 727-4451
Fax(231) 722-1827
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2002
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 24, 2014
NPI 1467666040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MI · 4301080390
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1675 LEAHY ST, Muskegon, MI 49442

Other Identifiers 1

OtherMI1763002MI · Medicare

Accepted 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

Steven R. 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 ID6507933173
PECOS Enrollment IDI20080923000745
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 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
85 services80 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
70 services70 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
52 services52 patients
Initial hospital inpatient care per day, typically 70 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.
52 services49 patients
Follow-up hospital inpatient care per day, typically 25 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.
50 services39 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49442 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.85
Improvement Activities20
Cost58.94

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.

Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Urology
1675 LEAHY ST, SUITE 107
MUSKEGON, MI 49442
Internal Medicine
1675 LEAHY ST, SUITE 215A
MUSKEGON, MI 49442
Internal Medicine (Gastroenterology)
1675 LEAHY ST, STE 324B
MUSKEGON, MI 49442
Orthopaedic Surgery
1675 LEAHY ST, SUITE 120
MUSKEGON, MI 49442
Specialist/Technologist (Athletic Trainer)
1675 LEAHY ST, SUITE 200
MUSKEGON, MI 49442

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 Steven Fox's NPI number?

The NPI number for Steven Fox is 1467666040. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Steven Fox located?

Steven Fox practices at 1675 Leahy St Suite 324B, Muskegon, MI 49442. The listed phone number is (231) 726-5075.

What is Steven Fox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Steven Fox enrolled in Medicare?

Yes. Steven 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 Steven Fox accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Steven 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 Steven Fox affiliated with any hospitals?

According to CMS data, Steven Fox is affiliated with Trinity Health Muskegon Hospital and Trinity Health Grand Haven Hospital.

When was this NPI record last updated?

The NPPES record for Steven Fox was last updated on June 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.