KENNETH J FOX PA
NPI 1851480586
Physician Assistant in Youngstown, OH

Q: What is Kenneth Fox's NPI number?

The NPI number for Kenneth Fox is 1851480586. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kenneth Fox's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Fox was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment

83/100

CMS Quality Rating

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 746-7211(330) 656-5901 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2019, Jan 28, 2019 (2 updates tracked since 2019).

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About Kenneth J Fox Pa NPPES

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

KENNETH J FOX PA (NPI 1851480586) is an individual physician assistant in Youngstown, Ohio, licensed in Ohio (50000865) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1851480586

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENNETH J FOXCredential: PA

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing Address5700 Darrow Rd, Suite 106Hudson, OH 44236-5021 · (330) 656-5911 · Fax (330) 656-5901

Phone(330) 746-7211

Fax(330) 656-5901

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 12, 2006

Last NPPES UpdateMay 16, 20192 updates tracked since enumeration

✔ NPI 1851480586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50000865

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.

1044 BELMONT AVE, Youngstown, OH 44504

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Other Identifiers 1

Medicaid0098212OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Kenneth J Fox Pa 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 ID3072655174

PECOS Enrollment IDI20100128000157

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 3

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.

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

134 services30 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

94 services64 patients

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328

A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

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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.

DR. MICHAEL ALLEN VAN WINKLE D.O

Internal Medicine