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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: July 26, 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
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Other Identifiers 1

Medicare UPINF17848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

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.

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.

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.
171 services31 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
167 services31 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
106 services30 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services37 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 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.
11 services11 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.

DR. JEFFREY A. SAWYER M.D.
Otolaryngology
300 HEBRON AVE, SUITE 202
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2759
JACQUELINE MUSCHIANO APRN
Internal Medicine (Infectious Disease)
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-0764
ELIZABETH B SITLER MS LPC
Counselor (Mental Health)
300 HEBRON AVE, STE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697
DR. ROBERT ROSE D.D.S.
Dentist (Endodontics)
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2647
DR. NAIMET A. SYED M.D.
Psychiatry & Neurology (Psychiatry)
300 HEBRON AVE, SUITE 215
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-4001
THE FOOT GROUP, LLC
Durable Medical Equipment & Medical Supplies
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3668
STEVEN MARK BALLOCH DDS
Dentist (General Practice)
300 HEBRON AVE, SUITE 112
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-8660
DR. THOMAS MARTIN CARLSON PSY.D.
Psychologist (Clinical)
300 HEBRON AVE, SUITE 215
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8545

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.

What insurance does Evan Fox accept?

Health plans from Providence Health Plan list Evan 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 Evan Fox was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.