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JOHN EARL FOX M.D.
NPI 1619970233
Family Medicine in Hugo, CO

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
111 6TH ST., HUGO, CO 80821(719) 743-2155(719) 743-2355 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Earl Fox M.d. NPPES

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

JOHN EARL FOX M.D. (NPI 1619970233) is an individual family medicine provider in Hugo, Colorado, licensed in Colorado (27084) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1984).

NPPES Registry Identity

NPI1619970233
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN EARL FOXCredential: M.D.
Location Address111 6TH ST.Hugo, CO 80821-0248
Mailing Address111 6th St., P.o. Box 248Hugo, CO 80821-0248 · (719) 743-2155 · Fax (719) 743-2355
Phone(719) 743-2155
Fax(719) 743-2355
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1984
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 28, 2012
✔ NPI 1619970233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 27084
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 6TH ST., Hugo, CO 80821
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Other Identifiers 3

Medicare UPIND28405CO
Medicaid01270842CO
Medicare ID-Type Unspecified7962-4CO

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

John Earl 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 ID4082884366
PECOS Enrollment IDI20170410000443
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 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services15 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.
25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80821 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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers29 claims77 services$5.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$103.76 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier11 claims66 services$23.80 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$72.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$21.71 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$18.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

CHANDA MORGAN APN-FNP
Nurse Practitioner (Family)
111 6TH ST.
HUGO, CO 80821
Lincoln County (719) 743-2421
LINCOLN COMMUNITY HOSPITAL
General Acute Care Hospital (Critical Access)
111 6TH ST.
HUGO, CO 80821
Lincoln County (719) 743-2421

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 John Fox's NPI number?

The NPI number for John Fox is 1619970233. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is John Fox located?

John Fox practices at 111 6th St., Hugo, CO 80821. The listed phone number is (719) 743-2155.

What is John Fox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Fox enrolled in Medicare?

Yes. John 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.

When was this NPI record last updated?

The NPPES record for John Fox was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.