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DONALD M FOX MD
NPI 1922041474
Ophthalmology in Jamaica, NY

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: October 18, 2026.

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, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Fox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
10 mi
Ophthalmology
5 E 98TH ST FL 7, BOX 1183
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 155 clinicians in this Medicare group
NPI 1437421252 (212) 241-0939
Lawrence Blum, M.D., P.C
10 mi
Ophthalmology
572 PARK AVE., GROUND FL
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Lawrence Blum MD PC
  • 2 clinicians in this Medicare group
NPI 1417381880 (212) 751-8374

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

Areas of Expertise CMS Part B claims 4

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.
62 services39 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.
23 services23 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).
15 services15 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
11 services11 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.

QLIMG JAMAICA ESTATES MED OFFICE
Podiatrist
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 526-6300
DR. NAJMA A. AHMED MD
Internal Medicine
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 526-6300
ANAT B WARREN MD
Internal Medicine (Allergy & Immunology)
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 526-6300
MARLENE CORUJO MD
Urology
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 262-6300
LINDA WANG MD
Pediatrics
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (516) 542-6880
DOLORES A BORRES PT
Physical Therapist
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 262-5877
LISSIAMMA CHACKO MD
Pediatrics
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 262-6300
JAHANGIR SOLTANI MD
Surgery
18005 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (718) 262-6300

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 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.

Where is Donald Fox located?

Donald Fox practices at 18005 Hillside Ave, Jamaica, NY 11432. The listed phone number is (718) 262-6300.

What is Donald Fox's specialty?

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

Is Donald Fox enrolled in Medicare?

Yes. Donald Fox is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donald Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Fox reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Lawrence Blum, M.D., P.C (New York, NY). 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 Donald Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Fox accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Donald 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 Donald Fox was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.