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DR. CANDACE FOX M.D.
NPI 1497710909
Surgery in Miami, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
8501 SW 124TH AVE STE 211, MIAMI, FL 33183(305) 595-6488(305) 595-3532 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Candace Fox M.d. NPPES

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

DR. CANDACE FOX M.D. (NPI 1497710909) is an individual surgery provider in Miami, Florida, licensed in Florida (ME67590) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1992).

NPPES Registry Identity

NPI1497710909
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. CANDACE FOXCredential: M.D.
Location Address8501 SW 124TH AVE STE 211Miami, FL 33183-4633
Mailing Address8501 Sw 124th Ave Ste 211Miami, FL 33183-4633 · (305) 595-6488 · Fax (305) 595-5352
Phone(305) 595-6488
Fax(305) 595-3532
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1992
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1497710909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME67590
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8501 SW 124TH AVE STE 211, Miami, FL 33183
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Candace 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 ID2163698440
PECOS Enrollment IDI20120109000624
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.

Medicare Billing Reassignment

Medicare enrollment records show Candace Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Candace Fox, M.D., P.A.
6.8 mi
Surgery
6090 BIRD RD, SECOND FLOOR
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Candace Fox MD PA
NPI 1528343639 (305) 661-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

NELLY ANNE MAURANT GRASS APRN
Nurse Practitioner (Women's Health)
8501 SW 124TH AVE STE 211
MIAMI, FL 33183
Miami-Dade County (305) 595-6488
CENTER FOR WOMENS WELLNESS CORP
Clinic/Center
8501 SW 124TH AVE STE 211
MIAMI, FL 33183
Miami-Dade County (305) 595-6488
TIFFANY SHANA LEON NP-BC
Nurse Practitioner (Family)
8501 SW 124TH AVE STE 211
MIAMI, FL 33183
Miami-Dade County (305) 595-6488
DR. PATRICIA I RISTIC M.D.
Obstetrics & Gynecology
8501 SW 124TH AVE STE 211
MIAMI, FL 33183
Miami-Dade County (309) 595-6488

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 Candace Fox's NPI number?

The NPI number for Candace Fox is 1497710909. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Candace Fox located?

Candace Fox practices at 8501 SW 124th Ave Ste 211, Miami, FL 33183. The listed phone number is (305) 595-6488.

What is Candace Fox's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Candace Fox enrolled in Medicare?

Yes. Candace 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.

Which organization bills Medicare for Candace Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Fox reassigns Medicare benefits to Candace Fox, M.D., P.A. (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candace Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candace Fox accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Candace 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.

When was this NPI record last updated?

The NPPES record for Candace Fox was last updated on August 31, 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.