DR. ROBERT C FOX MD
NPI 1508869819
Ophthalmology in Redding, CA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
73.16/100
CMS Quality Rating
2216 BUENAVENTURA BLVD, REDDING, CA 96001(530) 241-6550(530) 241-1279 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert C Fox Md NPPES

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

DR. ROBERT C FOX MD (NPI 1508869819) is an individual ophthalmology provider in Redding, California, licensed in California (C50857) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1994).

NPPES Registry Identity

NPI1508869819
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROBERT C FOXCredential: MD
Location Address2216 BUENAVENTURA BLVDRedding, CA 96001
Mailing Address2216 Buenaventura BlvdRedding, CA 96001 · (530) 241-6550 · Fax (530) 241-1279
Fax(530) 241-1279
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1994
Enumeration DateMay 31, 2005
Last NPPES UpdateMay 1, 2008
NPI 1508869819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · C50857
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2216 BUENAVENTURA BLVD, Redding, CA 96001

Other Identifiers 3

Medicare UPING07565CA
Medicare PIN00C508570CA
Medicaid00C508570CA

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

Dr. Robert 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 ID8527048511
PECOS Enrollment IDI20040723000510
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 16

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
363 services231 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
362 services361 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.
359 services168 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
230 services207 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
177 services103 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
175 services175 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

73.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.36
Improvement Activities40
Cost22.07

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
96%298 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
99%303 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
90%93 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
87%248 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
52%221 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
92%201 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,687 patients
Patients totalRate: 0% · 1,687 patients
0%1,687 patients5/55-star benchmark: 100%
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 9

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

Obstetrics & Gynecology
2216 BUENAVENTURA BLVD, SUITE B
REDDING, CA 96001
Obstetrics & Gynecology
2216 BUENAVENTURA BLVD, SUITE B
REDDING, CA 96001
Obstetrics & Gynecology
2216 BUENAVENTURA BLVD, SUITE B
REDDING, CA 96001
Obstetrics & Gynecology
2216 BUENAVENTURA BLVD
REDDING, CA 96001
Nurse Practitioner (Women's Health)
2216 BUENAVENTURA BLVD
REDDING, CA 96001
Ophthalmology
2216 BUENAVENTURA BLVD
REDDING, CA 96001
Optometrist
2216 BUENAVENTURA BLVD
REDDING, CA 96001
Obstetrics & Gynecology
2216 BUENAVENTURA BLVD
REDDING, CA 96001

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 Robert Fox's NPI number?

The NPI number for Robert Fox is 1508869819. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Robert Fox located?

Robert Fox practices at 2216 Buenaventura Blvd, Redding, CA 96001. The listed phone number is (530) 241-6550.

What is Robert Fox's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Fox enrolled in Medicare?

Yes. Robert 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 Robert Fox accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Robert 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 Robert Fox was last updated on May 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.