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DR. BENJAMIN ELLIOT FOX MD
NPI 1649697574
Emergency Medicine in Saint Louis, MO

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
80.61/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110(314) 362-9123(314) 362-0478 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Oct 5, 2023 and 3 more (6 updates tracked since 2018).

About Dr. Benjamin Elliot Fox Md NPPES

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

DR. BENJAMIN ELLIOT FOX MD (NPI 1649697574) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2023025757) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Virginia School Of Medicine (2014).

NPPES Registry Identity

NPI1649697574
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BENJAMIN ELLIOT FOXCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DEPT EMERGENCY MEDSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-9123 · Fax (314) 362-0478
Phone(314) 362-9123
Fax(314) 362-0478
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1649697574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2023025757
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.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid200131032MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Benjamin Elliot 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 ID4385863448
PECOS Enrollment IDI20230921002782
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 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.

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.
200 services195 patients
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.
171 services162 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.
64 services64 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.
51 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

80.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.19
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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Benjamin Fox's NPI number?

The NPI number for Benjamin Fox is 1649697574. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Benjamin Fox located?

Benjamin Fox practices at 1 Barnes Jewish Hospital Plz Dept Emergency Med, Saint Louis, MO 63110. The listed phone number is (314) 362-9123.

What is Benjamin Fox's specialty?

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

Is Benjamin Fox enrolled in Medicare?

Yes. Benjamin 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 Benjamin Fox accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Benjamin 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 Benjamin Fox affiliated with any hospitals?

According to CMS data, Benjamin Fox is affiliated with Barnes Jewish Hospital and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Benjamin Fox was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.