DR. CATHERINE MARY FOX M.D.
NPI 1699874735
Psychiatry & Neurology - Psychiatry in Springfield, IL

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
3225 HEDLEY RD, SUITE A, SPRINGFIELD, IL 62711(217) 726-7300 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Catherine Mary Fox M.d. NPPES

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

DR. CATHERINE MARY FOX M.D. (NPI 1699874735) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (036-094927) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1992).

NPPES Registry Identity

NPI1699874735
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CATHERINE MARY FOXCredential: M.D.
Location Address3225 HEDLEY RD, SUITE ASpringfield, IL 62711-6248
Mailing Address3225 Hedley Rd, Suite ASpringfield, IL 62711-6248 · (217) 726-7300
Sole ProprietorYes
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1992
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 20, 2015
NPI 1699874735 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 IL · 036-094927
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.

3225 HEDLEY RD, Springfield, IL 62711

Other Identifiers 4

Other8432092IL · Bc/bs
Other093620IL · Health Alliance
Medicare UPING45543IL
Other172547003IL · Magellan

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. Catherine Mary 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 ID5092790881
PECOS Enrollment IDI20040624000450
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.

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.
104 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

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.

Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Counselor (Professional)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711

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 Catherine Fox's NPI number?

The NPI number for Catherine Fox is 1699874735. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Catherine Fox located?

Catherine Fox practices at 3225 Hedley Rd Suite A, Springfield, IL 62711. The listed phone number is (217) 726-7300.

What is Catherine Fox's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Catherine Fox enrolled in Medicare?

Yes. Catherine 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.

Is Catherine Fox affiliated with any hospitals?

According to CMS data, Catherine Fox is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Fox was last updated on March 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.