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DR. MARY C FOX MD
NPI 1770558462
Otolaryngology in Waukesha, WI

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
1111 DELAFIELD ST, SUITE1, WAUKESHA, WI 53188(262) 547-1614(262) 547-0192 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Mary C Fox Md NPPES

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

DR. MARY C FOX MD (NPI 1770558462) is an individual otolaryngology provider in Waukesha, Wisconsin, licensed in Wisconsin (37998) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1995).

NPPES Registry Identity

NPI1770558462
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARY C FOXCredential: MD
Location Address1111 DELAFIELD ST, SUITE1Waukesha, WI 53188-3417
Mailing Address1111 Delafield St, Suite1Waukesha, WI 53188-3417 · (262) 547-1614 · Fax (262) 547-0192
Phone(262) 547-1614
Fax(262) 547-0192
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1995
Enumeration DateFebruary 17, 2006
Last NPPES UpdateApril 3, 2008
✔ NPI 1770558462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WI · 37998
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1111 DELAFIELD ST, Waukesha, WI 53188
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Other Identifiers 3

Medicaid34012700WI
Medicare PIN000868770WI
Medicare UPINH24218WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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. Mary C 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 ID9638140213
PECOS Enrollment IDI20100618000796
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
35 services32 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
16 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

GREGORY R LOCHEN M.D.
Ophthalmology
1111 DELAFIELD ST, SUITE 312
WAUKESHA, WI 53188
Waukesha County (262) 547-3352
MRS. ALYSSA KATHRYN EISNER PA
Physician Assistant
1111 DELAFIELD ST, SUITE 209
WAUKESHA, WI 53188
Waukesha County (262) 542-0444
CHRISTINA K HILL LAT
Specialist/Technologist (Athletic Trainer)
1111 DELAFIELD ST, STE 120
WAUKESHA, WI 53188
Waukesha County (262) 521-9762
PROHEALTH MEDICAL GROUP INC
Clinic/Center (Radiology)
1111 DELAFIELD ST
WAUKESHA, WI 53188
Waukesha County (262) 928-4300
DR. FRANCESCA JEAN MARTIN D.D.S.
Dentist (General Practice)
1111 DELAFIELD ST, #319
WAUKESHA, WI 53188
Waukesha County (262) 549-3641
MRS. DEBRA SEILER NP
Nurse Practitioner (Family)
1111 DELAFIELD ST, SUITE 215
WAUKESHA, WI 53188
Waukesha County (262) 542-2594
VASAVI KUMAR PA
Physician Assistant
1111 DELAFIELD ST, STE 209
WAUKESHA, WI 53188
Waukesha County (262) 542-0444
MS. ERIN E DOXTATOR PT
Physical Therapist
1111 DELAFIELD ST, SUITE 120
WAUKESHA, WI 53188
Waukesha County (262) 521-9762

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 Mary Fox's NPI number?

The NPI number for Mary Fox is 1770558462. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Mary Fox located?

Mary Fox practices at 1111 Delafield St Suite1, Waukesha, WI 53188. The listed phone number is (262) 547-1614.

What is Mary Fox's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mary Fox enrolled in Medicare?

Yes. Mary 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 Mary Fox accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Mary 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 Mary Fox affiliated with any hospitals?

According to CMS data, Mary Fox is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Fox was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.