ELLIOTT C. FOX MD
NPI 1467915520
Emergency Medicine in Boston, MA

Active since April 07, 2019PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118(617) 414-5481 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2024, Sep 5, 2023, Aug 8, 2023 and 3 more (6 updates tracked since 2019).

About Elliott C. Fox Md NPPES

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

ELLIOTT C. FOX MD (NPI 1467915520) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (290835) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467915520
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameELLIOTT C. FOXCredential: MD
Location Address1 BOSTON MEDICAL CTR PLBoston, MA 02118-2908
Mailing AddressBmc Provider Enrollment Office, 960 Massachusetts Ave,.2nd FloorBoston, MA 02118 · (617) 414-5405
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2019
Last NPPES UpdateAugust 28, 20246 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1467915520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MA · 290835
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118

Other Identifiers 1

Medicaid110153643AMA

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

Elliott C. 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 ID8820324098
PECOS Enrollment IDI20220428000263
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services58 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.
31 services31 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 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.
20 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118

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 Elliott Fox's NPI number?

The NPI number for Elliott Fox is 1467915520. It was assigned to this individual provider in the NPPES registry on April 7, 2019.

Where is Elliott Fox located?

Elliott Fox practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (617) 414-5481.

What is Elliott Fox's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elliott Fox enrolled in Medicare?

Yes. Elliott 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 Elliott Fox affiliated with any hospitals?

According to CMS data, Elliott Fox is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Elliott Fox was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.