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DR. DAVID A FOX II M.D.
NPI 1689639619
Family Medicine in Maryville, MO

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
2016 S MAIN ST, MARYVILLE, MO 64468(660) 562-2600 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David A Fox Ii M.d. NPPES

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

DR. DAVID A FOX II M.D. (NPI 1689639619) is an individual family medicine provider in Maryville, Missouri, licensed in Missouri (2005024752) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Pershing Memorial Hospital, and maintains a secondary practice location in Macungie.

NPPES Registry Identity

NPI1689639619
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID A FOX IICredential: M.D.
Location Address2016 S MAIN STMaryville, MO 64468-2655
Mailing Address1300 N One Mile Rd, Suite 3Dexter, MO 63841-1042 · (573) 624-1640
Phone(660) 562-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 20, 2006
Last NPPES UpdateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1689639619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2005024752
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD494632 (PA)
2016 S MAIN ST, Maryville, MO 64468
Open in Google Maps ↗

Secondary Practice Location 1

Location 13369 Route 100Macungie, PA 18062-9613 · Phone (610) 402-8111

Other Identifiers 4

OtherP00272237MO · Railroad Medicare
Other202070MO · Blue Shield
Medicaid200311207MO
Other720478Healthlink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Dr. David A Fox Ii 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 ID4082503297
PECOS Enrollment IDI20051128000522
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

6

Medicare enrollment records show David Fox reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harrison County Community Hospital District
44 mi
Family Medicine
110 CENTRAL AVE
Pattonsburg, MO 64670
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1528062569 (Missouri)
  • 35 clinicians in this Medicare group
NPI 1285427104 (660) 425-3154
Saint Lukes Hospital Of Trenton
62 mi
General Practice
301 W 2ND ST
Jamesport, MO 64648
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Saint Luke's Hospital Of Trenton
  • Also billed through NPI 1841274057 (Missouri)
  • 157 clinicians in this Medicare group
NPI 1831202431 (660) 684-6244
Saint Lukes Hospital Of Chillicothe
78 mi
Critical Access
2799 N WASHINGTON
Chillicothe, MO 64601
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245433127 (Missouri)
  • 79 clinicians in this Medicare group
NPI 1912948308 (660) 646-1480
General John J Pershing Memorial Hospital Association
91 mi
Rural Health
101 E HAYWARD ST
Meadville, MO 64659
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1982612461 (Missouri), NPI 1417991159 (Missouri)
  • 21 clinicians in this Medicare group
NPI 1285995944 (660) 938-4213
Mercy St. Francis Hospital
287 mi
Critical Access
100 WEST HIGHWAY 60
Mountain View, MO 65548
  • Reassigned Medicare billing, Missouri enrollment
  • 126 clinicians in this Medicare group
NPI 1023053477 (417) 934-7000
Lehigh Valley Physician Group
973 mi
Family Medicine
121 N TULPEHOCKEN ST
Pine Grove, PA 17963
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1437911807 (570) 345-2345

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

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.

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.
76 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261307
Location130 East LocklingBrookfield, MO 64628 · Linn County
Emergency services

Harrison County Community Hospital

Critical Access Hospitals · Bethany, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261312
Location2600 Miller StreetBethany, MO 64424 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64468 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 4

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.90 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims660 services$4.69 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers11 claims660 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.09 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 20

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

MIKAILA WALLACE DO
Family Medicine
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
DR. SALLY A. BOMAR M.D.
Family Medicine
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
DR. JAMES E. BRADLEY M.D.
Surgery
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
CLAIRE CHRISTINE GREGSON RN
Nurse Practitioner (Family)
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2600
SHELLIE KATHLEEN FARIS MD
Surgery
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
MOSAIC MEDICAL CENTER - MARYVILLE
Specialist
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
MIRANDA MARIE FLOYD AGACNP
Nurse Practitioner (Gerontology)
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-7999
DR. BRIAN D. GOLIGHTLY M.D.
Family Medicine
2016 S MAIN ST
MARYVILLE, MO 64468
Nodaway County (660) 562-2525

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 David Fox's NPI number?

The NPI number for David Fox is 1689639619. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is David Fox located?

David Fox practices at 2016 S Main St, Maryville, MO 64468. The listed phone number is (660) 562-2600.

What is David Fox's specialty?

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

Is David Fox enrolled in Medicare?

Yes. David 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 David Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Fox reassigns Medicare benefits to 6 organizations: Harrison County Community Hospital District (Pattonsburg, MO), Saint Lukes Hospital Of Trenton (Jamesport, MO), Saint Lukes Hospital Of Chillicothe (Chillicothe, MO), General John J Pershing Memorial Hospital Association (Meadville, MO), Mercy St. Francis Hospital (Mountain View, MO) and 1 more organization, listed in the Medicare section above. 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 David Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list David 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 David Fox affiliated with any hospitals?

According to CMS data, David Fox is affiliated with Pershing Memorial Hospital and Harrison County Community Hospital.

When was this NPI record last updated?

The NPPES record for David Fox was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.