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MICHAEL PATRICK FOX M.D.
NPI 1912937269
Obstetrics & Gynecology in Lexington, SC

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
5336 SUNSET BLVD STE A, LEXINGTON, SC 29072(803) 567-8900(803) 567-8909 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2025, Jun 17, 2024, May 10, 2021 and 3 more (6 updates tracked since 2017).

About Michael Patrick Fox M.d. NPPES

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

MICHAEL PATRICK FOX M.D. (NPI 1912937269) is an individual obstetrics & gynecology provider in Lexington, South Carolina, licensed in South Carolina (22321) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (1998).

NPPES Registry Identity

NPI1912937269
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL PATRICK FOXCredential: M.D.
Location Address5336 SUNSET BLVD STE ALexington, SC 29072-9393
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(803) 567-8900
Fax(803) 567-8909
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 6, 20256 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1912937269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 22321
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5336 SUNSET BLVD STE A, Lexington, SC 29072
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11301 Taylor St Ste 6JColumbia, SC 29201-2930 · Phone (803) 296-2942 · Fax (803) 779-9581
Location 21351 Crestview RdEasley, SC 29642-2408 · Phone (864) 855-5006 · Fax (864) 850-1992
Location 32095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 789-1892 · Fax (843) 606-8036

Other Identifiers 4

OtherSCB4743365SC · Medicare Pin
Medicaid20T64775SC
MedicaidT64775SC
Other582296052-562SC · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.Insurance ›

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

Michael 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 ID3274670062
PECOS Enrollment IDI20250722003898
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

8

Medicare enrollment records show Michael Fox reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Medical Group-Midlands
6.5 mi
Interventional Cardiology
300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1003307166 (803) 765-0871
Kraemer Womens Care, LLC
21 mi
Obstetrics & Gynecology
460 CLEMSON RD
Columbia, SC 29229
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Kraemer Women's Care, LLC
  • 26 clinicians in this Medicare group
NPI 1124201280 (803) 438-3800
Roper Saint Francis Physicians Network
49 mi
Neurological Surgery
764 W LIBERTY ST, SUITE 3
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 658 clinicians in this Medicare group
NPI 1528319100 (803) 774-2570
Mcleod Physician Associates II
79 mi
Urgent Care
3015 WEST PALMETTO STREET
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1104035492 (843) 777-6870
Obhg North Carolina, P.C.
85 mi
Obstetrics & Gynecology
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Obhg North Carolina PC
  • 196 clinicians in this Medicare group
NPI 1124300876 (800) 967-2289
Obhg South Carolina PC
88 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 190 clinicians in this Medicare group
NPI 1538457361 (800) 967-2289
Bon Secours Medical Group Greenville Specialty Care LLC
90 mi
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 clinicians in this Medicare group
NPI 1821679580 (864) 603-6099
Roper St. Francis Specialty Physicians
96 mi
Surgery
8536 PALMETTO COMMERCE PKWY STE 501
Ladson, SC 29456
  • Reassigned Medicare billing, South Carolina enrollment
  • 296 clinicians in this Medicare group
NPI 1528945912 (843) 203-2260

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILLEY OXNER STORY MD
Internal Medicine
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
CHLOE JOHNSON HARRIS
Physician Assistant
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
CHELSEA LENORA BUCHANAN
Physician Assistant
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
ANDREA ALICIA ALEXANDER WHNP
Nurse Practitioner (Women's Health)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
MRS. YOLANDA JOY MINES MD
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
ALVIN DAY M.D.
Internal Medicine (Rheumatology)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
DR. HELEN D LATHAM M.D.
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
JOHN BENNETT MANNA NP-C
Nurse Practitioner (Family)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900

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 Michael Fox's NPI number?

The NPI number for Michael Fox is 1912937269. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Michael Fox located?

Michael Fox practices at 5336 Sunset Blvd Ste A, Lexington, SC 29072. The listed phone number is (803) 567-8900.

What is Michael Fox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Fox enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fox reassigns Medicare benefits to 8 organizations: Prisma Health Medical Group-Midlands (Columbia, SC), Kraemer Womens Care, LLC (Columbia, SC), Roper Saint Francis Physicians Network (Sumter, SC), Mcleod Physician Associates II (Florence, SC), Obhg North Carolina, P.C. (Charlotte, NC) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fox accept?

Health plans from Cigna Healthcare and Molina Healthcare list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Fox was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.