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EVAN FOX MD
NPI 1598837429
Psychiatry & Neurology - Psychiatry in Glastonbury, CT

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
300 HEBRON AVE, SUITE 107, GLASTONBURY, CT 06033(860) 430-1150(860) 430-1093 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evan Fox Md NPPES

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

EVAN FOX MD (NPI 1598837429) is an individual psychiatry provider in Glastonbury, Connecticut, licensed in Connecticut (031192) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1598837429
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEVAN FOXCredential: MD
Location Address300 HEBRON AVE, SUITE 107Glastonbury, CT 06033
Mailing Address300 Hebron Ave, Suite 107Glastonbury, CT 06033 · (860) 430-1150 · Fax (860) 430-1093
Phone(860) 430-1150
Fax(860) 430-1093
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598837429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 031192
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 HEBRON AVE, Glastonbury, CT 06033
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF17848

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

Evan 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 ID7911929906
PECOS Enrollment IDI20051219000561
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 Reassignments

2

Medicare enrollment records show Evan Fox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Evan Fox MD, LLC
Same address
Behavioral Neurology & Neuropsychiatry
300 HEBRON AVE, SUITE 107
Glastonbury, CT 06033
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1457699712 (860) 430-1150
Hartford Hospital
5.0 mi
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
NPI 1407806391 (860) 545-7602

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 4

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.

Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
194 services42 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.
185 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services28 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

SUSAN GARGIULO LCSW
Social Worker (Clinical)
300 HEBRON AVE, SUITE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697
GLASTONBURY PODIATRY GROUP
Durable Medical Equipment & Medical Supplies
300 HEBRON AVE, SUITE 211
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3668
JOSEPH B SAPPINGTON MD FACC PC
Internal Medicine (Cardiovascular Disease)
300 HEBRON AVE, SUITE 213
GLASTONBURY, CT 06033
Capitol Planning Region (860) 525-7357
TRACY SIBLEY
Nurse Practitioner (Psychiatric/Mental Health)
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 383-3860
JEFFREY DAVID RAPP LMSW
Counselor
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 962-4486
DR. MELENEY BLANCHFORD SCUDDER PSY.D.
Psychologist (Clinical)
300 HEBRON AVE, SUITE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697
GLASTONBURY PSYCHOLOGICAL ASSOCIATES, PC
Psychologist (Clinical)
300 HEBRON AVE, SUITE 215
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1202
COUNSELING AFFILIATES INC
Counselor (Mental Health)
300 HEBRON AVE, SUITE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697

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 Evan Fox's NPI number?

The NPI number for Evan Fox is 1598837429. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Evan Fox located?

Evan Fox practices at 300 Hebron Ave Suite 107, Glastonbury, CT 06033. The listed phone number is (860) 430-1150.

What is Evan Fox's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Evan Fox enrolled in Medicare?

Yes. Evan 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 organizations bill Medicare for Evan Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Fox reassigns Medicare benefits to 2 organizations: Evan Fox MD, LLC (Glastonbury, CT) and Hartford Hospital (Hartford, CT). Each 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 Evan 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 Evan Fox was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.