DR. CHARLES ANDREW FOX MD
NPI 1881685790
Internal Medicine - Gastroenterology in Wilmington, NC

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
1520 PHYSICIANS DR, WILMINGTON, NC 28401(910) 662-8300 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Sep 5, 2018 (2 updates tracked since 2018).

About Dr. Charles Andrew Fox Md NPPES

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

DR. CHARLES ANDREW FOX MD (NPI 1881685790) is an individual gastroenterology provider in Wilmington, North Carolina, licensed in Georgia (56056) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1881685790
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CHARLES ANDREW FOXCredential: MD
Location Address1520 PHYSICIANS DRWilmington, NC 28401-7356
Mailing Address1355 Peachtree St Ne Ste 1600Atlanta, GA 30309-3276 · (678) 223-7774 · Fax (678) 223-7799
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 31, 2005
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1881685790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in GA · 56056
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1520 PHYSICIANS DR, Wilmington, NC 28401

Secondary Practice Location 1

Location 1550 Peachtree St NE, Suite 1600Atlanta, GA 30308 · Phone (404) 881-1094 · Fax (404) 874-1249

Other Identifiers 1

Medicaid786180765AGA

Accepted 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

Dr. Charles Andrew Fox Md 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 ID9032152624
PECOS Enrollment IDI20240918003620
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 2

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%332 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%832 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%685 patients4/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
95%346 patients5/55-star benchmark: 88%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%276 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 209 patients
0%209 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Gastroenterology)
1520 PHYSICIANS DR
WILMINGTON, NC 28401
Physician Assistant
1520 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1520 PHYSICIANS DR
WILMINGTON, NC 28401
Physician Assistant
1520 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Gastroenterology)
1520 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Gastroenterology)
1520 PHYSICIANS DR, STE B
WILMINGTON, NC 28401
Physician Assistant
1520 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Gastroenterology)
1520 PHYSICIANS DR, STE B
WILMINGTON, NC 28401

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 Charles Fox's NPI number?

The NPI number for Charles Fox is 1881685790. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Charles Fox located?

Charles Fox practices at 1520 Physicians Dr, Wilmington, NC 28401. The listed phone number is (910) 662-8300.

What is Charles Fox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Charles Fox enrolled in Medicare?

Yes. Charles 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 Charles Fox accept?

Health plans from Blue Cross and Blue Shield of NC list Charles 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 Charles Fox affiliated with any hospitals?

According to CMS data, Charles Fox is affiliated with Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Fox was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.