DR. AUSTIN ROY FOX M.D.
NPI 1851740591
Ophthalmology - Glaucoma Specialist in Irvine, CA

Q: What is Austin Fox's NPI number?

The NPI number for Austin Fox is 1851740591. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Q: What is Austin Fox's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Q: When was this NPI record last updated?

The NPPES record for Austin Fox was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 03, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

850 HEALTH SCIENCES RD, IRVINE, CA 92617(949) 824-2020 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2022, Jul 7, 2020 (2 updates tracked since 2020).

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About Dr. Austin Roy Fox M.d. NPPES

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

DR. AUSTIN ROY FOX M.D. (NPI 1851740591) is an individual glaucoma specialist in Irvine, California, licensed in California (A170928) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of South Alabama College Of Medicine (2016).

NPPES Registry Identity

NPI1851740591

Entity TypeIndividualMale

Primary Taxonomy207WX0009X

Provider Legal NameDR. AUSTIN ROY FOXCredential: M.D.

Location Address850 HEALTH SCIENCES RDIrvine, CA 92617-3058

Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986

Phone(949) 824-2020

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2016

Enumeration DateJune 3, 2016

Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1851740591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0009X

License✔ Licensed in CA · A170928

Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Also ListedInternal MedicineTaxonomy 207R00000X · License R-10506 (IA)

Also ListedOphthalmologyTaxonomy 207W00000X · License R-10506 (IA), MD-47052 (IA)

850 HEALTH SCIENCES RD, Irvine, CA 92617

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Secondary Practice Locations 2

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-3938 · Fax (319) 678-8880

Location 2105 E 9th StCoralville, IA 52241-2209 · Phone (319) 467-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Austin Roy Fox M.d. 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 ID2365735065

PECOS Enrollment IDI20210610000477

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.

Medicare Billing Reassignments

Medicare enrollment records show Austin Fox reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California

10 mi

Rheumatology

101 THE CITY DR S
Orange, CA 92868

Reassigned Medicare billing, California enrollment
85 clinicians in this Medicare group

NPI 1487602579 (714) 456-8068

Regents Of The University Of California

10 mi

Ophthalmology

101 THE CITY DR S
Orange, CA 92868

Reassigned Medicare billing, California enrollment
113 clinicians in this Medicare group

NPI 1871541953 (714) 456-8068

North County Eye Center, Inc.

55 mi

Ophthalmology

838 NORDAHL RD STE 220
San Marcos, CA 92069

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1184797169 (760) 738-9985

North County Eye Physicians, Inc

64 mi

Ophthalmology

15706 POMERADO RD STE 103
Poway, CA 92064

Reassigned Medicare billing, California enrollment
17 clinicians in this Medicare group

NPI 1639437536 (858) 451-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

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.

969 services536 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

760 services440 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

445 services366 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

427 services326 patients

Imaging of optic nerve 92133

322 services271 patients

Exam of visual field with extended testing 92083

307 services233 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

263 services218 patients

Imaging of retina 92134

228 services193 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

107 services103 patients

Exam of the internal drainage system of eye 92020

96 services95 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

93 services93 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.

88 services88 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

84 services84 patients

Ultrasound scan of cornea to determine thickness 76514

79 services79 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

75 services58 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

74 services56 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

63 services56 patients

Measurement of corneal curvature and depth of eye 92136

59 services49 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

55 services42 patients

Ct scan of cornea 92025

55 services51 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

24 services19 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.

23 services21 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

16 services16 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

15 services15 patients

Removal of recurring cataract in lens capsule using a laser 66821

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92617 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

100/100

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

Scored through an Alternative Payment Model

Quality

82.4

Promoting Interoperability

100

Improvement Activities

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. STEPHEN B PREPAS M.D.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)