1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

MATTHEW PATRICK FOX M.D.
NPI 1861513541
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Louisville, KY

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
201 ABRAHAM FLEXNER WAY, STE 1200, LOUISVILLE, KY 40202(502) 588-7600(502) 588-7700 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 29, 2016, Jan 12, 2016 (2 updates tracked since 2016).

About Matthew Patrick Fox M.d. NPPES

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

MATTHEW PATRICK FOX M.D. (NPI 1861513541) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Louisville, Kentucky, licensed in Kentucky (47714) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (2007).

NPPES Registry Identity

NPI1861513541
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMATTHEW PATRICK FOXCredential: M.D.
Location Address201 ABRAHAM FLEXNER WAY, STE 1200Louisville, KY 40202-3841
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0329 · Fax (502) 588-0326
Phone(502) 588-7600
Fax(502) 588-7700
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2007
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 29, 20162 updates tracked since enumeration
✔ NPI 1861513541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in KY · 47714
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
201 ABRAHAM FLEXNER WAY, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

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

Matthew Patrick 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 ID941483184
PECOS Enrollment IDI20160318001915
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 6

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services12 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.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 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.
12 services12 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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. MARTHA TRIMBLE MCCOY M.D.
Surgery
201 ABRAHAM FLEXNER WAY, STE 902
LOUISVILLE, KY 40202
Jefferson County (502) 583-5945
RAYMOND G SHEA MD PSC
Orthopaedic Surgery
201 ABRAHAM FLEXNER WAY, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 587-8222
MRS. CHRISTIN E HONAKER MD
Internal Medicine
201 ABRAHAM FLEXNER WAY, SUITE 904
LOUISVILLE, KY 40202
Jefferson County (502) 589-3844
MS. HEATHER J MOODY APRN
Nurse Practitioner (Acute Care)
201 ABRAHAM FLEXNER WAY, SUITE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 583-8383
SUDHIR NARAIN MD
Internal Medicine
201 ABRAHAM FLEXNER WAY, #1001
LOUISVILLE, KY 40202
Jefferson County (502) 589-6788
LAUREN MICHELLE HAMILTON APRN
Nurse Practitioner (Critical Care Medicine)
201 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
DALE M. ROBERTS MD
Plastic Surgery
201 ABRAHAM FLEXNER WAY, SUITE 1105
LOUISVILLE, KY 40202
Jefferson County (502) 581-9223
VRINDA SARDANA M.D.
Internal Medicine (Cardiovascular Disease)
201 ABRAHAM FLEXNER WAY, SUITE 1101
LOUISVILLE, KY 40202
Jefferson County (502) 581-1951

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 Matthew Fox's NPI number?

The NPI number for Matthew Fox is 1861513541. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Matthew Fox located?

Matthew Fox practices at 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202. The listed phone number is (502) 588-7600.

What is Matthew Fox's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Matthew Fox enrolled in Medicare?

Yes. Matthew 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 Matthew Fox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Matthew 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 Matthew Fox affiliated with any hospitals?

According to CMS data, Matthew Fox is affiliated with Baptist Health Hardin, UofL Health - Shelbyville Hospital, Jewish Hospital & St Mary's Healthcare, Baptist Health Louisville and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Fox was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.