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KATHERINE FOX
NPI 1821759473
Physician Assistant in Saint Louis, MO

Active since January 05, 2022PECOS EnrolledAccepts Medicare Assignment
3437 CAROLINE ST, SAINT LOUIS, MO 63104(314) 977-8641 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Apr 12, 2023, Jan 5, 2022 (3 updates tracked since 2022).

About Katherine Fox NPPES

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

KATHERINE FOX (NPI 1821759473) is an individual physician assistant in Saint Louis, Missouri and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821759473
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE FOX
Location Address3437 CAROLINE STSaint Louis, MO 63104-1111
Mailing Address8 Burning Bush CtTroy, MO 63379-3368 · (636) 352-7829
Phone(314) 977-8641
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 5, 2022
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1821759473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3437 CAROLINE ST, Saint Louis, MO 63104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 257-8000
Location 21475 Kisker Rd Ste 200Saint Charles, MO 63304-8788 · Phone (636) 498-5800

Accepted Insurance

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

Katherine Fox 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 ID4880069061
PECOS Enrollment IDI20230403000156
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 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.
133 services119 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
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.
40 services39 patients
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.
16 services16 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

JORDAN WELLS
Physician Assistant
3437 CAROLINE ST
SAINT LOUIS, MO 63104
St. Louis City (971) 275-7979
MELISSA DOAN
Physician Assistant
3437 CAROLINE ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-2570
MS. MARY GRACE HALLARE RD
Dietitian, Registered
3437 CAROLINE ST, ROOM 3076
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8523
IRIS STEPHANIE HERRERA
Student in an Organized Health Care Education/Training Program
3437 CAROLINE ST
SAINT LOUIS, MO 63104
St. Louis City (800) 758-3678
MRS. KIMBERLY DIANE LEVENHAGEN DPT
Physical Therapist
3437 CAROLINE ST, ROOM 1026
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8548
SANKEERTH KALLU REDDY PA
Physician Assistant
3437 CAROLINE ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-7821
HAILEY DOLPHIN
Physician Assistant
3437 CAROLINE ST
SAINT LOUIS, MO 63104
St. Louis City (319) 329-1827
MR. ANTHONY PAUL BREITBACH ATC
Specialist/Technologist (Athletic Trainer)
3437 CAROLINE ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-3295

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 Katherine Fox's NPI number?

The NPI number for Katherine Fox is 1821759473. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Katherine Fox located?

Katherine Fox practices at 3437 Caroline St, Saint Louis, MO 63104. The listed phone number is (314) 977-8641.

What is Katherine Fox's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katherine Fox enrolled in Medicare?

Yes. Katherine 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 Katherine Fox accept?

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

According to CMS data, Katherine Fox is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Katherine Fox was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.