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MATTHEW E. FOX PA
NPI 1629459706
Physician Assistant in Anderson, IN

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
1515 N MADISON AVE, ANDERSON, IN 46011(765) 298-5141 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew E. Fox Pa NPPES

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

MATTHEW E. FOX PA (NPI 1629459706) is an individual physician assistant in Anderson, Indiana and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629459706
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW E. FOXCredential: PA
Location Address1515 N MADISON AVEAnderson, IN 46011-3453
Mailing AddressPo Box 61Lapel, IN 46051-0061 · (860) 794-6891
Phone(765) 298-5141
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2015
✔ NPI 1629459706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1515 N MADISON AVE, Anderson, IN 46011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Matthew E. Fox Pa 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 ID4082925698
PECOS Enrollment IDI20150624000686
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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46011 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

ADRIANNA BOTTOMLEY PA-C, MPAS
Physician Assistant
1515 N MADISON AVE
ANDERSON, IN 46011
Madison County (765) 298-5141
EMERGENCY PHYSICIANS OF COMMUNITY HOSPITAL OF ANDERSON
Emergency Medicine
1515 N MADISON AVE, EMERGENCY DEPARTMENT
ANDERSON, IN 46011
Madison County (765) 298-5141
KIRK HOFMANN M.D.
Emergency Medicine
1515 N MADISON AVE
ANDERSON, IN 46011
Madison County (765) 298-5141
DIANE GREENE NP
Nurse Practitioner
1515 N MADISON AVE
ANDERSON, IN 46011
Madison County (765) 298-4242
DR. RYAN PARKER HINDS M.D.
Anesthesiology
1515 N MADISON AVE
ANDERSON, IN 46011
Madison County (765) 298-4242
DR. MOHAMMAD SAMI BAKDASH M.D.
Internal Medicine
1515 N MADISON AVE
ANDERSON, IN 46011
Madison County (765) 298-4242
EPCHA, PC
Emergency Medicine
1515 N MADISON AVE, EMERGENCY DEPARTMENT
ANDERSON, IN 46011
Madison County (765) 298-5141
VIRGIL V. LOGHIN M.D.
Anesthesiology
1515 N MADISON AVE
ANDERSON, IN 46011
Madison County (765) 298-5118

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 Matthew Fox's NPI number?

The NPI number for Matthew Fox is 1629459706. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Matthew Fox located?

Matthew Fox practices at 1515 N Madison Ave, Anderson, IN 46011. The listed phone number is (765) 298-5141.

What is Matthew Fox's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Fox enrolled in Medicare?

Yes. Matthew 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 Matthew Fox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Matthew 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.

Is Matthew Fox affiliated with any hospitals?

According to CMS data, Matthew Fox is affiliated with Community Hospital East and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Matthew Fox was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.