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

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: August 16, 2026.

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

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 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
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

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. 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.

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
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.
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
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).
322 services271 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.
307 services233 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
Quality82.4
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Occupational Therapist
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Physician Assistant
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Retina Specialist)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Retina Specialist)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Neuro-ophthalmology)
850 HEALTH SCIENCES RD
IRVINE, CA 92617

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 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.

Where is Austin Fox located?

Austin Fox practices at 850 Health Sciences Rd, Irvine, CA 92617. The listed phone number is (949) 824-2020.

What is Austin Fox's specialty?

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

Is Austin Fox enrolled in Medicare?

Yes. Austin 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.

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.