DR. KATHERINE MARIE FOX M.D.
NPI 1942462353
Family Medicine - Sports Medicine in Waunakee, WI

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
1300 S CENTURY AVE, WAUNAKEE, WI 53597(608) 849-4315(608) 850-1606 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2023, Jan 4, 2023, May 24, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Katherine Marie Fox M.d. NPPES

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

DR. KATHERINE MARIE FOX M.D. (NPI 1942462353) is an individual sports medicine provider in Waunakee, Wisconsin, licensed in Wisconsin (71735) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2008).

NPPES Registry Identity

NPI1942462353
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameDR. KATHERINE MARIE FOXCredential: M.D.
Location Address1300 S CENTURY AVEWaunakee, WI 53597-2386
Mailing Address1300 S Century AveWaunakee, WI 53597-2386 · (608) 849-4315 · Fax (608) 850-1606
Fax(608) 850-1606
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateFebruary 10, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
NPI 1942462353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in WI · 71735 Licensed in IL · 036.127122
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036.127122 (IL), 71735 (WI)
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 036.127122 (IL)
1300 S CENTURY AVE, Waunakee, WI 53597

Other Names 1

Former Name (1)Katherine Marie Szczepanski M.d.

Other Identifiers 1

Medicaid1942462353WI

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. Katherine Marie 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 ID6204086895
PECOS Enrollment IDI20200304002805
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
133 services82 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.
117 services77 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.
112 services112 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
19 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53597 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 17

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

Physical Therapist
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Family Medicine
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Technician/Technologist (Optician)
1300 S CENTURY AVE, SUITE 200
WAUNAKEE, WI 53597
Family Medicine
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Physician Assistant
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597

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 Katherine Fox's NPI number?

The NPI number for Katherine Fox is 1942462353. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Katherine Marie Szczepanski M.D..

Where is Katherine Fox located?

Katherine Fox practices at 1300 S Century Ave, Waunakee, WI 53597. The listed phone number is (608) 849-4315.

What is Katherine Fox's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Katherine Fox enrolled in Medicare?

Yes. Katherine 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 Katherine Fox accept?

Health plans from Anthem Blue Cross and Blue Shield list Katherine 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 Katherine Fox affiliated with any hospitals?

According to CMS data, Katherine Fox is affiliated with Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Katherine Fox was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.