Active NPI 1295997351 Individual Practitioner Male Practitioner

Dr. James Albert Fox , MD

Ophthalmology • Grand Junction, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Fox, MD is a certified Ophthalmology practicing in Grand Junction, CO. With approximately 18 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2008, Dr. Fox delivers high-quality medical care to the local community at 1000 WELLINGTON AVE STE A.

Dr. Fox is affiliated with Total Vision Eye Care Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Wellington Ave Ste A

Grand Junction, CO 815018180

Telephone 7205241001

Fax 9702439023

Associated Practice Facility / Clinic

🏢 Total Vision Eye Care Group, Llc Facility NPI 1487257499

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Grand Junction, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -3.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Grand Junction, CO (361 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (18 Years) 18 Yrs

Grand Junction Specialty Average (21.0 Years) 21.0 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
92136 Measurement of corneal curvature and depth of eye	912	636	$107.89	$39.94
66984 Removal of cataract with insertion of lens	761	465	$1601.38	$471.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	463	463	$275.00	$166.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	308	$185.24	$128.93
92083 Exam of visual field with extended testing	299	224	$100.00	$64.52
99213 Established patient office or other outpatient visit, typically 15 minutes	292	205	$165.00	$91.31
92133 Imaging of optic nerve	218	191	$78.62	$33.71
92134 Imaging of retina	159	151	$80.00	$38.42
66821 Removal of recurring cataract in lens capsule using a laser	140	119	$640.71	$346.83
92250 Photography of the retina	106	104	$120.00	$34.20
83861 Microfluid analysis of tears	98	51	$45.00	$22.03
92020 Examination of cornea and iris using lens device and slit lamp	95	94	$40.00	$27.63
76514 Ultrasound scan of cornea to determine thickness	84	84	$25.00	$10.63
92025 Ct scan of cornea	62	60	$48.00	$32.93
83516 Analysis of substance using immunoassay technique	57	28	$27.00	$11.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$185.00	$112.03
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	26	18	$2376.19	$614.64
66988 Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye	25	19	$3784.00	$585.66
66982 Complex removal of cataract with insertion of prosthetic lens	25	23	$1800.00	$662.69
65855 Laser repair to improve eye fluid flow	25	20	$634.40	$260.29
0660T Implantation of drug-releasing device in front chamber of eye	22	17	$1824.00	$765.50
92004 New patient complete exam of visual system	19	19	$225.00	$150.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	799	532	$101.20	$40.85
66984 Removal of cataract with insertion of lens	633	379	$1601.66	$468.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	416	416	$275.00	$167.26
99213 Established patient office or other outpatient visit, typically 15 minutes	394	254	$165.05	$90.98
92083 Exam of visual field with extended testing	278	216	$100.00	$63.69
92133 Imaging of optic nerve	234	204	$75.00	$34.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	212	$185.81	$127.33
92134 Imaging of retina	110	106	$80.00	$38.60
66821 Removal of recurring cataract in lens capsule using a laser	109	95	$541.28	$343.17
92020 Examination of cornea and iris using lens device and slit lamp	89	86	$40.00	$28.11
76514 Ultrasound scan of cornea to determine thickness	72	71	$25.00	$10.79
83516 Analysis of substance using immunoassay technique	64	32	$27.00	$11.30
83861 Microfluid analysis of tears	49	25	$45.00	$22.03
92250 Photography of the retina	48	48	$120.00	$35.43
92004 New patient complete exam of visual system	45	45	$225.00	$152.75
92025 Ct scan of cornea	32	30	$48.00	$33.06
66988 Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye	25	17	$4000.00	$633.52
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	22	16	$2083.00	$589.74
65855 Laser repair to improve eye fluid flow	21	16	$520.00	$245.91
66982 Complex removal of cataract with insertion of prosthetic lens	17	16	$1750.00	$656.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	610	451	$96.72	$41.79
66984 Removal of cataract with insertion of lens	574	346	$1600.00	$473.45
99213 Established patient office or other outpatient visit, typically 15 minutes	435	277	$147.21	$92.25
92083 Exam of visual field with extended testing	302	247	$100.00	$65.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	295	295	$266.78	$168.69
92133 Imaging of optic nerve	238	220	$75.00	$34.71
92020 Examination of cornea and iris using lens device and slit lamp	199	196	$40.00	$28.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	168	$181.79	$130.59
66821 Removal of recurring cataract in lens capsule using a laser	101	90	$603.96	$361.06
76514 Ultrasound scan of cornea to determine thickness	99	99	$25.00	$11.03
92134 Imaging of retina	70	69	$80.00	$39.34
83861 Microfluid analysis of tears	65	49	$45.00	$22.24
92250 Photography of the retina	64	64	$120.00	$35.22
83516 Analysis of substance using immunoassay technique	61	43	$27.00	$11.37
65855 Laser repair to improve eye fluid flow	40	28	$520.00	$250.92
92004 New patient complete exam of visual system	40	40	$225.00	$154.66
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	30	22	$2146.90	$639.04
66988 Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye	18	12	$4000.00	$587.84
66982 Complex removal of cataract with insertion of prosthetic lens	15	15	$1750.00	$700.60
65820 Incision to improve eye fluid flow	12	11	$1150.00	$848.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	711	515	$94.85	$45.07
66984 Removal of cataract with insertion of lens	676	400	$1601.55	$479.50
99213 Established patient office or other outpatient visit, typically 15 minutes	535	324	$111.61	$94.02
92083 Exam of visual field with extended testing	354	293	$100.00	$66.52
92020 Examination of cornea and iris using lens device and slit lamp	336	333	$40.00	$29.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	325	324	$250.00	$172.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	212	$167.51	$133.48
92133 Imaging of optic nerve	214	200	$75.00	$35.67
92250 Photography of the retina	150	147	$120.00	$37.41
76514 Ultrasound scan of cornea to determine thickness	126	125	$25.00	$11.28
83861 Microfluid analysis of tears	101	57	$45.45	$22.48
83516 Analysis of substance using immunoassay technique	98	48	$27.00	$11.53
66821 Removal of recurring cataract in lens capsule using a laser	92	84	$543.48	$363.27
92134 Imaging of retina	62	60	$80.00	$40.38
0191T Internal insertion of eye fluid drainage device	37	22	$2000.00	$355.78
65855 Laser repair to improve eye fluid flow	31	23	$520.00	$256.59
66982 Complex removal of cataract with insertion of prosthetic lens	31	26	$1750.00	$664.98
92004 New patient complete exam of visual system	21	21	$225.00	$156.95
92014 Established patient complete exam of visual system	13	13	$185.00	$131.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	660	436	$102.27	$52.12
99213 Established patient office or other outpatient visit, typically 15 minutes	603	382	$109.95	$77.67
66984 Removal of cataract with insertion of lens	528	324	$1531.06	$471.35
92020 Examination of cornea and iris using lens device and slit lamp	408	402	$40.00	$28.73
92083 Exam of visual field with extended testing	396	322	$100.00	$65.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	388	388	$250.00	$169.64
92133 Imaging of optic nerve	244	232	$75.00	$35.92
83516 Analysis of substance using immunoassay technique	182	94	$26.70	$11.47
92250 Photography of the retina	170	167	$120.00	$43.14
92014 Established patient complete exam of visual system	152	144	$185.26	$131.67
83861 Microfluid analysis of tears	111	74	$45.00	$22.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	105	$165.00	$112.70
76514 Ultrasound scan of cornea to determine thickness	109	109	$25.00	$11.63
66821 Removal of recurring cataract in lens capsule using a laser	90	84	$508.89	$354.73
92134 Imaging of retina	57	55	$79.91	$39.70
76513 Ultrasound scan of eye using water bath method	55	29	$158.18	$96.75
65855 Laser repair to improve eye fluid flow	32	23	$520.00	$258.36
92004 New patient complete exam of visual system	31	31	$225.00	$156.62
66982 Complex removal of cataract with insertion of prosthetic lens	26	22	$1750.00	$655.53
66988 Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye	24	14	$3687.50	$580.09
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	23	13	$450.00	$315.19
65820 Incision to improve eye fluid flow	17	12	$1176.47	$824.60
92012 Established patient problem focused exam of visual system	16	15	$130.00	$92.31
0191T Internal insertion of eye fluid drainage device	15	11	$1733.33	$344.31
0449T Insertion of initial aqueous fluid drainage device into eye	12	11	$3500.00	$804.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	705	389	$110.00	$75.51
92136 Measurement of corneal curvature and depth of eye	647	446	$118.05	$56.83
66984 Removal of cataract with insertion of lens	531	328	$1502.17	$536.32
92083 Exam of visual field with extended testing	452	324	$100.00	$64.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	340	340	$250.00	$166.68
92020 Examination of cornea and iris using lens device and slit lamp	335	327	$40.00	$28.07
92250 Photography of the retina	280	270	$120.00	$46.62
83861 Microfluid analysis of tears	238	126	$45.00	$22.03
92133 Imaging of optic nerve	175	160	$75.00	$35.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	161	$165.00	$111.06
83516 Analysis of substance using immunoassay technique	130	85	$26.79	$12.55
92025 Ct scan of cornea	118	113	$48.00	$35.49
76514 Ultrasound scan of cornea to determine thickness	107	107	$25.00	$12.04
66821 Removal of recurring cataract in lens capsule using a laser	99	88	$515.15	$343.06
76513 Ultrasound scan of eye using water bath method	52	27	$155.77	$95.02
92014 Established patient complete exam of visual system	51	51	$185.00	$129.65
92004 New patient complete exam of visual system	48	48	$225.00	$154.75
92134 Imaging of retina	37	37	$81.08	$40.34
66982 Complex removal of cataract with insertion of prosthetic lens	33	30	$1787.88	$669.44
0191T Internal insertion of eye fluid drainage device	28	17	$2964.29	$339.97
66711 Destruction of tissue encircling lens using an endoscope	28	16	$1176.07	$590.25
65820 Incision to improve eye fluid flow	24	18	$1365.08	$749.58
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	23	14	$450.00	$293.09
0376T Insertion of eye drainage device	18	13	$1000.00	$169.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$165.00	$110.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$65.00	$46.15
0449T Insertion of initial aqueous fluid drainage device into eye	14	12	$3500.00	$793.25
92012 Established patient problem focused exam of visual system	11	11	$126.82	$90.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	792	408	$110.00	$71.59
92136 Measurement of corneal curvature and depth of eye	682	482	$140.00	$62.24
92083 Exam of visual field with extended testing	599	392	$100.00	$62.34
66984 Removal of cataract with insertion of lens	542	345	$1519.10	$534.94
92250 Photography of the retina	403	390	$120.00	$50.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	342	342	$250.00	$161.71
92020 Examination of cornea and iris using lens device and slit lamp	335	317	$40.00	$26.31
83861 Microfluid analysis of tears	330	178	$45.00	$22.03
92025 Ct scan of cornea	236	225	$48.00	$34.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	182	$165.00	$105.77
92133 Imaging of optic nerve	175	152	$75.26	$34.34
76514 Ultrasound scan of cornea to determine thickness	150	150	$25.00	$14.21
66821 Removal of recurring cataract in lens capsule using a laser	86	73	$517.44	$328.25
83516 Analysis of substance using immunoassay technique	86	47	$27.00	$13.96
92004 New patient complete exam of visual system	68	68	$225.00	$148.87
76513 Ultrasound scan of eye using water bath method	58	29	$160.34	$89.22
92134 Imaging of retina	56	51	$80.00	$38.81
0191T Internal insertion of eye fluid drainage device	35	25	$3200.00	$943.29
66982 Complex removal of cataract with insertion of prosthetic lens	35	29	$1785.71	$664.88
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	33	18	$450.00	$303.89
65855 Laser repair to improve eye fluid flow	24	21	$520.00	$238.68
0449T Insertion of initial aqueous fluid drainage device into eye	18	17	$3583.33	$754.60
92286 Imaging of front third of eye using a special microscope	13	13	$60.00	$34.96
65820 Incision to improve eye fluid flow	13	12	$1150.00	$599.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	764	380	$110.00	$70.30
92136 Measurement of corneal curvature and depth of eye	575	372	$140.00	$65.28
92083 Exam of visual field with extended testing	559	396	$100.00	$60.07
66984 Removal of cataract with insertion of lens	438	284	$1497.95	$510.72
92020 Examination of cornea and iris using lens device and slit lamp	370	353	$40.00	$25.83
83861 Microfluid analysis of tears	347	178	$45.00	$22.21
92133 Imaging of optic nerve	347	286	$75.00	$33.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	323	323	$250.00	$156.91
76514 Ultrasound scan of cornea to determine thickness	192	192	$25.00	$13.58
92250 Photography of the retina	184	183	$120.00	$58.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	147	$165.00	$103.41
92134 Imaging of retina	130	101	$80.00	$37.81
83516 Analysis of substance using immunoassay technique	102	53	$27.00	$15.36
66821 Removal of recurring cataract in lens capsule using a laser	72	60	$500.00	$315.86
92004 New patient complete exam of visual system	52	52	$225.00	$143.65
66982 Complex removal of cataract with insertion of prosthetic lens	51	40	$1750.00	$655.06
92025 Ct scan of cornea	51	51	$48.24	$32.89
0191T Internal insertion of eye fluid drainage device	44	31	$3161.36	$1001.61
65855 Laser repair to improve eye fluid flow	33	26	$520.00	$236.00
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	29	17	$450.00	$286.13
65820 Incision to improve eye fluid flow	26	21	$1367.23	$660.14
0449T Insertion of initial aqueous fluid drainage device into eye	21	16	$3500.00	$741.09
66711 Destruction of tissue encircling lens using an endoscope	19	11	$977.00	$597.50
66984 Removal of cataract with insertion of lens	19	19	$1500.00	$412.68
76513 Ultrasound scan of eye using water bath method	13	12	$184.62	$89.00

Medical Specialties & State Licenses

CMS Verified: 2020-04-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CO DR.0055856

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License NV 14844

Hospital & Practice Group Affiliations

Total Vision Eye Care Group Llc

3900 E Mexico Ave, Denver, CO 802103941

Phone: 7205241001

Total Vision Eye Care Group Llc

1000 Wellington Ave A, Grand Junction, CO 815018180

Phone: 7205241001

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Nicole Ramos , OD

Optometrist

NPI 1023598398

Doctor of Optometry

Sunni Kovar

Optometrist

NPI 1033494190

Dr. Curt Greeley , OD

Optometrist

NPI 1093067332

Doctor of Optometry

Dr. Walter Hoffman , MD

Ophthalmology

NPI 1124019112

Doctor of Medicine (M.D.)

Dr. Menachem Weiss , MD

Ophthalmology

NPI 1124524319

Doctor of Medicine (M.D.)

Dr. Stephanie Ivor-Smith , OD

Optometrist

NPI 1174971733

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location April 20, 2020

Registered at 1000 WELLINGTON AVE STE A, GRAND JUNCTION, CO 815018180 (Tel: 7205241001)

✅

NPI Profile Active March 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2017

Registered at 1000 WELLINGTON AVE, STE A, GRAND JUNCTION, CO 815018180 (Tel: 7205241001)

📍

Updated Business Mailing Address March 01, 2017

Registered at 3900 E MEXICO AVE, SUITE 102, DENVER, CO 802103940 (Tel: 7205241001)

👤

Provider Name / Credentials Updated March 01, 2017

Recorded as JAMES FOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2017

Ophthalmology (License #DR.0055856 in CO)

✅

NPI Profile Active April 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2016

Registered at 2643 PATTERSON RD, SUITE 405, GRAND JUNCTION, CO 815061936 (Tel: 9702455989)

📍

Updated Business Mailing Address April 20, 2016

Registered at 3900 E MEXICO AVE, SUITE 102, DENVER, CO 802103940 (Tel: 7205241001)

👤

Provider Name / Credentials Updated April 20, 2016

Recorded as JAMES FOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2016

Ophthalmology (License #14844 in NV)

🟢

Initial NPI Registration & Enumeration June 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295997351

Entity Type:

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

Enumeration Date: June 30, 2008

Last Update: April 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3900 E Mexico Ave, Suite 102

Denver, CO 802103940

Phone: 7205241001

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.