DR. MATTHEW CHARLES FOX MD
NPI 1740471929
Dermatology - MOHS-Micrographic Surgery in Austin, TX

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1601 TRINITY ST STOP 704, AUSTIN, TX 78712(512) 324-7468 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew Charles Fox Md NPPES

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

DR. MATTHEW CHARLES FOX MD (NPI 1740471929) is an individual mohs-micrographic surgery provider in Austin, Texas, licensed in Texas (P2988) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2007).

NPPES Registry Identity

NPI1740471929
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. MATTHEW CHARLES FOXCredential: MD
Location Address1601 TRINITY ST STOP 704Austin, TX 78712-1865
Mailing Address1601 Trinity St Stop 704Austin, TX 78712-1865
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2007
Enumeration DateAugust 5, 2007
Last NPPES UpdateNovember 25, 2019
NPI 1740471929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in TX · P2988
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 4301091546 (MI), P2988 (TX)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 4301091546 (MI), P2988 (TX)
1601 TRINITY ST STOP 704, Austin, TX 78712

Other Identifiers 1

Medicaid310279001TX

Accepted 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. Matthew Charles 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 ID6406002518
PECOS Enrollment IDI20121204000382
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 23

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
345 services277 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
327 services51 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
128 services97 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.
102 services73 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
84 services65 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
72 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
20%103 patients1/55-star benchmark: 93%
Cervical Cancer Screening
17%81 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
57%46 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
18%287 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
38%73 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
65%613 patients3/55-star benchmark: 100%
e-Prescribing
98%353 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%336 patients1/55-star benchmark: 100%
HIV Screening
3%204 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
8%507 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
9%495 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%486 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 30% · 575 patients
29%575 patients
Provide Patients Electronic Access to Their Health Information
83%881 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%60 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 345 patients
Patients totalRate: 2% · 348 patients
2%348 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Surgical)
1601 TRINITY ST STOP 704
AUSTIN, TX 78712
Plastic Surgery
1601 TRINITY ST STOP 704
AUSTIN, TX 78712
Neurological Surgery
1601 TRINITY ST STOP 704
AUSTIN, TX 78712
Neurological Surgery
1601 TRINITY ST STOP 704
AUSTIN, TX 78712
Physician Assistant
1601 TRINITY ST STOP 704
AUSTIN, TX 78712
Nurse Practitioner (Family)
1601 TRINITY ST STOP 704
AUSTIN, TX 78712

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 1740471929. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Matthew Fox located?

Matthew Fox practices at 1601 Trinity St Stop 704, Austin, TX 78712. The listed phone number is (512) 324-7468.

What is Matthew Fox's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

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 from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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.

When was this NPI record last updated?

The NPPES record for Matthew Fox was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.