DONALD M FOX MD
NPI 1922041474
Ophthalmology in Jamaica, NY

Q: What is Donald Fox's NPI number?

The NPI number for Donald Fox is 1922041474. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Donald Fox's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Fox was last updated on October 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2006PECOS Enrolled

18005 HILLSIDE AVE, JAMAICA, NY 11432(718) 262-6300(718) 262-7045 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Donald M Fox Md NPPES

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

DONALD M FOX MD (NPI 1922041474) is an individual ophthalmology provider in Jamaica, New York, licensed in New York (175459) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1987).

NPPES Registry Identity

NPI1922041474

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDONALD M FOXCredential: MD

Location Address18005 HILLSIDE AVEJamaica, NY 11432-4727

Mailing Address1000 Zeckendorf BlvdGarden City, NY 11530-2133 · (516) 542-6880 · Fax (516) 542-5556

Phone(718) 262-6300

Fax(718) 262-7045

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1987

Enumeration DateJune 13, 2006

Last NPPES UpdateOctober 17, 2011

✔ NPI 1922041474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 175459

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

18005 HILLSIDE AVE, Jamaica, NY 11432

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Other Identifiers 2

Medicare UPINE94806NY

Medicare ID-Type Unspecified9255MUNY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald M Fox Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587644281

PECOS Enrollment IDI20040722001255

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 5

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

91 services67 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

20 services20 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).

17 services16 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

16 services16 patients

Cataract surgery NAN11

Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.

0 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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 20

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

MARLENE CORUJO MD

Urology