Active NPI 1295818474 Individual Practitioner Male Practitioner

Dr. Richard Jay Fox , MD

Surgery • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Richard Fox, MD is a certified Surgery practicing in Boulder, CO. With approximately 29 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 1997, Dr. Fox delivers high-quality medical care to the local community at 4743 ARAPAHOE AVE.

Dr. Fox is affiliated with Alpine Surgical Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4743 Arapahoe Ave
#102

Boulder, CO 803031113

Telephone 3034493642

Fax 3034407298

Associated Practice Facility / Clinic

🏢 Charles Jones Md Pc Facility NPI 1376557967

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -0.1 yrs vs City Avg

City Avg: 29.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Boulder, CO (635 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (29 Years) 29 Yrs

Boulder Specialty Average (29.1 Years) 29.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	156	$150.00	$91.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$265.00	$111.84
93970 Ultrasound study of arm or leg veins with compression and maneuvers	84	74	$492.00	$191.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$338.00	$167.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	58	$221.00	$128.61
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	33	$330.00	$121.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$416.00	$169.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$149.00	$77.20
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	22	18	$3452.00	$1536.66
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	21	16	$4139.00	$1101.45
76642 Limited ultrasound scan of 1 breast	16	13	$183.00	$89.04
49650 Repair of groin hernia using an endoscope	16	16	$902.00	$591.87
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	16	13	$1357.00	$247.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	12	$214.00	$110.84
76536 Ultrasound of head and neck	14	14	$243.00	$112.99
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3244.00	$855.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	139	$150.00	$92.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$265.00	$114.47
93970 Ultrasound study of arm or leg veins with compression and maneuvers	70	60	$492.00	$198.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$338.00	$169.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	46	$221.00	$130.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	21	$149.00	$79.73
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	39	26	$330.00	$126.05
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	33	25	$3452.00	$1642.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$416.00	$169.37
76642 Limited ultrasound scan of 1 breast	18	16	$183.00	$97.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$425.00	$223.77
76536 Ultrasound of head and neck	15	14	$243.00	$117.80
10160 Aspiration of abscess, blood accumulation, blister, or cyst	12	11	$271.00	$124.00
49650 Repair of groin hernia using an endoscope	12	12	$1353.00	$585.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	144	$150.00	$93.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$265.00	$114.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	87	73	$492.00	$203.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$338.00	$170.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$221.00	$129.37
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	26	$330.00	$128.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	23	$149.00	$71.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$416.00	$198.99
93922 Ultrasound study of arm and leg arteries	20	16	$184.00	$88.01
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	18	16	$3452.00	$2030.95
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	17	12	$4324.00	$1867.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	13	$214.00	$103.16
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	16	11	$4139.00	$1190.85
49650 Repair of groin hernia using an endoscope	16	16	$1522.13	$598.08
76642 Limited ultrasound scan of 1 breast	14	12	$183.00	$97.18
76536 Ultrasound of head and neck	13	13	$243.00	$121.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	156	$150.00	$94.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$265.00	$114.80
93970 Ultrasound study of arm or leg veins with compression and maneuvers	71	61	$492.00	$203.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$338.00	$173.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$221.00	$134.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	23	$149.00	$72.89
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	22	$330.00	$132.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$416.00	$203.04
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	22	16	$3452.00	$1980.66
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	18	15	$1357.00	$257.76
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	18	13	$4139.00	$1320.68
49650 Repair of groin hernia using an endoscope	16	16	$1634.88	$629.03
76642 Limited ultrasound scan of 1 breast	16	15	$183.00	$93.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$214.00	$104.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	184	137	$150.00	$76.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$265.00	$110.05
93970 Ultrasound study of arm or leg veins with compression and maneuvers	68	60	$492.00	$200.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$221.00	$111.85
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	42	30	$330.00	$126.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$338.00	$166.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$149.00	$74.53
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	17	15	$3452.00	$1828.27
76642 Limited ultrasound scan of 1 breast	16	14	$183.00	$91.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$425.00	$214.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$416.00	$208.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	152	$150.00	$75.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$265.00	$109.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	86	74	$492.00	$199.68
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	70	39	$330.00	$124.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	54	$221.00	$111.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$338.00	$168.00
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	33	28	$4139.00	$1482.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	20	$149.00	$74.18
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	29	24	$1357.00	$360.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$416.00	$196.43
93922 Ultrasound study of arm and leg arteries	17	14	$184.00	$88.02
76536 Ultrasound of head and neck	14	12	$243.00	$118.60
49650 Repair of groin hernia using an endoscope	11	11	$1804.00	$676.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$214.00	$96.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	149	$138.82	$70.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$256.10	$105.48
93970 Ultrasound study of arm or leg veins with compression and maneuvers	73	56	$492.09	$196.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	71	40	$330.20	$120.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	52	$210.15	$102.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$317.17	$161.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	20	$138.40	$69.12
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	33	25	$1314.85	$372.80
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	33	25	$4139.18	$1503.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$199.25	$102.15
76536 Ultrasound of head and neck	21	21	$230.71	$115.96
49650 Repair of groin hernia using an endoscope	19	19	$1504.71	$578.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$400.19	$202.90
93922 Ultrasound study of arm and leg arteries	17	15	$203.60	$82.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	11	$168.57	$59.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$416.00	$183.36
19301 Partial removal of breast	11	11	$1269.91	$652.24
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$852.77	$219.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	131	$119.32	$70.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$245.00	$105.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$279.48	$156.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	51	$180.80	$103.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	29	$330.62	$116.37
93970 Ultrasound study of arm or leg veins with compression and maneuvers	48	40	$492.28	$193.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	21	$127.14	$70.05
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	20	17	$1250.00	$370.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$346.26	$196.63
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	18	15	$4139.60	$1487.99
49650 Repair of groin hernia using an endoscope	16	16	$1422.01	$613.74
93922 Ultrasound study of arm and leg arteries	13	11	$239.52	$86.71
76536 Ultrasound of head and neck	11	11	$200.00	$114.88

Medical Specialties & State Licenses

CMS Verified: 2020-02-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO 40751

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

73459879 (CO)

Commercial Insurance / Payer ID Blue Cross Blue Shield

FOF60580

Hospital & Practice Group Affiliations

Alpine Surgical Llc

4743 Arapahoe Ave, Boulder, CO 803031123

Phone: 3034493642

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Trisha Quon , PA-C

Physician Assistant

NPI 1396244836

Physician Assistant (Certified)

Dr. Akinlolu Beckley , MD

Surgery

NPI 1659339828

Doctor of Medicine (M.D.)

Jessica Moore-Scheeler , PA-C

Physician Assistant - Medical

NPI 1770613838

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2015

Registered at 4743 ARAPAHOE AVE, #102, BOULDER, CO 803031113 (Tel: 3034493642)

📍

Updated Business Mailing Address July 13, 2015

Registered at 4743 ARAPAHOE AVE, #102, BOULDER, CO 803031113 (Tel: 3034493642)

👤

Provider Name / Credentials Updated July 13, 2015

Recorded as RICHARD FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2015

Surgery (License #40751 in CO)

🟢

Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295818474

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 23, 2006

Last Update: February 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4743 Arapahoe Ave, #102

Boulder, CO 803031113

Phone: 3034493642

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.