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CLINTON JAMES FOX
NPI 1558622985
Emergency Medicine in Colorado Springs, CO

Active since June 01, 2012PECOS EnrolledAccepts Medicare Assignment
79.65/100
CMS Quality Rating
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909(719) 365-5000 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clinton James Fox NPPES

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

CLINTON JAMES FOX (NPI 1558622985) is an individual emergency medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0054892) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2012).

NPPES Registry Identity

NPI1558622985
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCLINTON JAMES FOX
Location Address1400 E BOULDER STColorado Springs, CO 80909-5533
Mailing AddressPo Box 173891Denver, CO 80217-3891 · (877) 346-2211
Phone(719) 365-5000
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2012
Enumeration DateJune 1, 2012
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1558622985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CO · DR.0054892
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.
1400 E BOULDER ST, Colorado Springs, CO 80909
Open in Google Maps ↗

Other Identifiers 1

Medicaid85051802CO

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

Clinton James Fox 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 ID7416181136
PECOS Enrollment IDI20150728004002
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 Clinton Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medical Specialists, PC
Same address
Emergency Medicine
1400 E BOULDER ST
Colorado Springs, CO 80909
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Emergency Medical Specialists, P.C.
  • 138 clinicians in this Medicare group
NPI 1194708073 (303) 306-7783

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

Areas of Expertise CMS Part B claims 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
186 services175 patients
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.
123 services121 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.
120 services120 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
70 services70 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services24 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

79.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.62
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.

ERIC WU M.D.
Emergency Medicine
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5000
PEDIATRIX MEDICAL MANAGEMENT GROUP INC
Pediatrics (Neonatal-Perinatal Medicine)
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 447-8812
JAINA CASE GARRISON MURPHY MD
Emergency Medicine
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5000
JASON DAVID LEEHAN PA-C
Physician Assistant
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5000
JESSICA JOANN MARS
Social Worker (Clinical)
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-8808
JOHN ANTHONY CAREY
Physician Assistant
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5000
STASI TORCHIA PT, DPT
Physical Therapist
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-2777
RUSSELL ALLEN MD
Anesthesiology
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6999

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 Clinton Fox's NPI number?

The NPI number for Clinton Fox is 1558622985. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Clinton Fox located?

Clinton Fox practices at 1400 E Boulder St, Colorado Springs, CO 80909. The listed phone number is (719) 365-5000.

What is Clinton Fox's specialty?

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

Is Clinton Fox enrolled in Medicare?

Yes. Clinton 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 Clinton Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Fox reassigns Medicare benefits to Emergency Medical Specialists, PC (Colorado Springs, CO). 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 Clinton Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clinton Fox was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.