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DAVID FOX MD
NPI 1790860443
Pediatrics in Aurora, CO

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Fox Md NPPES

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

DAVID FOX MD (NPI 1790860443) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (44099) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1790860443
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID FOXCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Phone(720) 777-1234
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1790860443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CO · 44099
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

13123 E 16TH AVE, Aurora, CO 80045
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Other Identifiers 2

Medicaid01933353CO
Medicare PINC805130CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, 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

David 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 ID4284643842
PECOS Enrollment IDI20060411000274
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers16 claims454 services$4.68 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,400 services$0.32 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$38.64 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.

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 1790860443. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is David Fox located?

David Fox practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is David Fox's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.

What insurance does David Fox accept?

Health plans from Medica and UnitedHealthcare 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.

When was this NPI record last updated?

The NPPES record for David Fox was last updated on September 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.