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Active NPI 1164474086 Individual Practitioner Male Practitioner

Dr. John G Fox , MD

Internal Medicine • Clearwater, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Fox, MD is a certified Internal Medicine practicing in Clearwater, FL. With approximately 32 years of clinical experience since graduating from University Of South Florida College Of Medicine in 1994, Dr. Fox delivers high-quality medical care to the local community at 1007 JEFFORDS ST STE 101.

Dr. Fox is affiliated with Pinellas County Primary Care And Hospitalists Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1007 Jeffords St Ste 101

Clearwater, FL 337564082

Telephone 7274431122
Fax 7272235270
Associated Practice Facility / Clinic
🏢 Baycare Medical Group Inc Facility NPI 1548833080

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Clearwater, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +5.5 yrs vs City Avg
City Avg: 26.5 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
138 Specialists

Practicing in Clearwater, FL (10650 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
32.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (32 Years) 32 Yrs
Clearwater Specialty Average (26.5 Years) 26.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
978 509 $186.00 $124.45
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
818 86 $91.00 $60.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
473 473 $190.00 $125.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
356 182 $117.00 $76.92
99213 Established patient office or other outpatient visit, typically 15 minutes
254 199 $131.00 $87.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
253 208 $24.00 $16.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
199 179 $193.00 $127.55
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
171 171 $27.00 $18.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
89 44 $176.00 $115.88
99238 Hospital discharge day management, 30 minutes or less
83 72 $119.00 $78.78
G0444 Annual depression screening, 5 to 15 minutes
71 71 $27.00 $18.00
90662 Influenza vaccine split virus, preservative free
67 67 $91.00 $81.52
G0008 Administration of influenza virus vaccine
66 66 $42.00 $31.66
99496 Transitional care management services for problem of high complexity
61 57 $400.00 $269.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
48 41 $78.00 $51.57
99239 Hospital discharge day management, more than 30 minutes
38 32 $169.00 $111.30
81003 Automated urinalysis test
29 24 $3.00 $2.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
27 16 $33.00 $22.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $244.00 $163.23
99495 Transitional care management services for problem of at least moderate complexity
22 22 $295.00 $198.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes
19 19 $27.00 $18.00
36415 Insertion of needle into vein for collection of blood sample
16 16 $10.00 $8.65
93000 Routine ekg using at least 12 leads including interpretation and report
16 16 $21.00 $13.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 11 $256.00 $169.23

Medical Specialties & State Licenses

CMS Verified: 2022-07-14
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME73336

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
262723000 (FL)
Commercial Insurance / Payer ID Railroad Medicare
110219951 (FL)

Hospital & Practice Group Affiliations

Pinellas County Primary Care And Hospitalists Pllc

1007 Jeffords St, Clearwater, FL 337564082

Phone: 7274431122

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Ana May , MD

Family Medicine

NPI 1093860678

Doctor of Medicine (M.D.)

Dr. Daniel Nosek , MD

Family Medicine

NPI 1386696284

Doctor of Medicine (M.D.)

Dr. Annette Hils , MD

Internal Medicine

NPI 1992905962

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 14, 2022

Registered at 1007 JEFFORDS ST STE 101, CLEARWATER, FL 337564082 (Tel: 7274431122)

📍
Updated Business Mailing Address July 14, 2022

Registered at 1007 JEFFORDS ST STE 101, CLEARWATER, FL 337564082 (Tel: 7274440407)

📍
Updated Practice Location January 24, 2020

Registered at 612 DRUID RD E STE B, CLEARWATER, FL 337563912 (Tel: 7274431122)

📍
Updated Business Mailing Address January 24, 2020

Registered at 516 LAKEVIEW RD STE 4, CLEARWATER, FL 337563302 (Tel: 7274440407)

NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2015

Registered at 612 DRUID RD E, SUITE B, CLEARWATER, FL 337563912 (Tel: 7274431122)

📍
Updated Business Mailing Address September 10, 2015

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275320002)

👤
Provider Name / Credentials Updated September 10, 2015

Recorded as JOHN FOX, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Internal Medicine (License #ME73336 in FL)

🟢
Initial NPI Registration & Enumeration May 17, 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: 1164474086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: July 14, 2022
Sole Proprietor: No

Mailing Address

1007 Jeffords St Ste 101

Clearwater, FL 337564082

Phone: 7274440407

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.