Active NPI 1184955734 Individual Practitioner Male Practitioner

Dr. Benjamin Davis Fox , MD

Neurological Surgery • Clearwater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Fox, MD is a certified Neurological Surgery practicing in Clearwater, FL. With approximately 21 years of clinical experience since graduating from Baylor College Of Medicine in 2005, Dr. Fox delivers high-quality medical care to the local community at 400 PINELLAS ST STE 325.

Dr. Fox is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Pinellas St Ste 325

Clearwater, FL 337563320

Telephone 7272986121

Fax 7272986151

Associated Practice Facility / Clinic

🏢 Baycare Medical Group Inc Facility NPI 1558931923

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Clearwater, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -4.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Clearwater, FL (675 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (21 Years) 21 Yrs

Clearwater Specialty Average (25.0 Years) 25.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	107	88	$221.00	$88.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	53	$193.00	$76.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	58	$433.00	$128.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	33	$312.00	$124.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$424.00	$168.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$409.00	$163.91
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	26	23	$947.00	$261.17
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	25	22	$30.00	$12.06
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	24	22	$954.00	$470.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$273.00	$109.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	74	$179.00	$78.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	69	$433.00	$129.62
99213 Established patient office or other outpatient visit, typically 15 minutes	60	55	$220.82	$87.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	49	$310.70	$125.13
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	39	35	$944.95	$280.46
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	36	30	$33.00	$12.79
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	35	31	$951.63	$443.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$408.41	$160.02
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	12	$696.00	$271.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$498.00	$166.76
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	13	12	$2652.00	$958.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$275.00	$110.47
75898 Imaging of blood vessel	11	11	$235.00	$92.96
75894 Radiological supervision and interpretation of obstruction of blood vessel via catheter	11	11	$185.00	$72.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	87	$227.00	$89.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	35	$179.00	$70.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$433.00	$135.42
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	36	30	$33.00	$13.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$283.00	$112.19
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	26	22	$962.00	$300.06
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	25	24	$969.00	$399.57
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	12	$696.00	$275.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$320.00	$126.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$422.00	$166.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$498.00	$196.77
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	12	11	$859.00	$262.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	31	$180.68	$72.18
99213 Established patient office or other outpatient visit, typically 15 minutes	62	51	$226.06	$91.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$433.00	$136.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$422.58	$169.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$321.45	$129.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$282.00	$112.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$151.71	$55.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$416.00	$165.61
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$188.00	$74.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$273.00	$108.66
61645 Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, accessed through skin	14	14	$2275.00	$903.59
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	14	14	$969.00	$324.46
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	13	12	$984.00	$453.14
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$433.00	$105.02
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	11	$32.00	$12.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$179.12	$106.85
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	18	$652.94	$266.54
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$123.00	$73.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$174.64	$106.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	11	$186.00	$74.11
72110 X-ray of lower and sacral spine, minimum of 4 views	25	25	$67.00	$33.12
22614 Fusion of additional segment of spine	24	11	$1028.50	$415.73
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	16	$554.00	$202.57
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	19	16	$871.79	$227.16
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$2836.00	$742.25
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	16	16	$884.63	$466.24
20939 Harvest of bone marrow for spine surgery graft	15	15	$153.00	$68.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$415.00	$165.92
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2007.92	$812.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$350.00	$139.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$173.00	$105.19
72110 X-ray of lower and sacral spine, minimum of 4 views	68	68	$66.82	$30.66
99213 Established patient office or other outpatient visit, typically 15 minutes	66	63	$115.00	$70.80
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	45	30	$640.36	$254.06
63048 Partial removal of spine bone with release of spinal cord and/or nerves	42	22	$525.00	$220.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$170.00	$102.43
20939 Harvest of bone marrow for spine surgery graft	30	30	$146.50	$66.37
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	28	28	$1567.14	$252.19
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	26	22	$1984.69	$425.35
72050 X-ray of upper spine, 4 or 5 views	23	23	$64.00	$27.36
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	23	23	$1614.52	$375.67
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$2670.00	$914.37
22633 Fusion of spine in lower back with partial removal of spine bone and disc	20	20	$4500.00	$1908.84
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$1875.00	$792.42
35301 Removal of blood clot and portion of artery of neck	17	17	$2823.82	$1178.61
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1900.00	$796.28
76377 3D radiographic procedure with computerized image postprocessing	12	11	$87.00	$39.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	88	$115.00	$69.75
72110 X-ray of lower and sacral spine, minimum of 4 views	78	78	$66.63	$30.29
63048 Partial removal of spine bone with release of spinal cord and/or nerves	60	32	$597.00	$220.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$173.00	$102.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	44	33	$720.00	$266.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	41	$69.00	$41.40
22614 Fusion of additional segment of spine	40	21	$1101.00	$400.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	30	$3076.43	$940.13
38220 Aspiration of bone marrow sample for diagnosis	25	25	$118.00	$31.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$170.00	$103.87
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$5145.00	$1842.06
72100 X-ray of lower and sacral spine, 2-3 views	22	21	$47.00	$20.38
72050 X-ray of upper spine, 4 or 5 views	21	21	$64.00	$27.22
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$2143.00	$795.05
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	18	17	$1421.67	$276.33
76377 3D radiographic procedure with computerized image postprocessing	17	14	$83.00	$39.76
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$2138.00	$791.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$264.00	$159.62
72040 X-ray of upper spine, 2-3 views	12	12	$49.08	$20.96
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	11	11	$1283.18	$425.45

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME140910

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License UT 8573892-1205

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License TX BP20025214

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

103273000 (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

300 Pinellas St, Clearwater, FL 337563804

Phone: 7274618231

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Practice Associates & Co-Workers

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

14 Associated Practitioners

Eduardo Rios , PA-C

Physician Assistant - Surgical

NPI 1003855305

Physician Assistant (Certified)

Jessica Reamy , PA

Physician Assistant

NPI 1013871631

Physician Assistant

Gabriella Rodriguez

Physician Assistant - Surgical

NPI 1063355667

Dr. Harold Colbassani , MD

Neurological Surgery

NPI 1235120494

Doctor of Medicine (M.D.)

Matthew Fox , LMHC

Counselor - Mental Health

NPI 1316099377

Licensed Mental Health Counselor

Cristina Martine , PA-C

Physician Assistant - Surgical

NPI 1457181869

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2019

Neurological Surgery (License #ME140910 in FL)

📍

Updated Practice Location June 11, 2019

Registered at 400 PINELLAS ST STE 325, CLEARWATER, FL 337563320 (Tel: 7272986121)

📍

Updated Business Mailing Address June 11, 2019

Registered at 2995 DREW ST FL 2, CLEARWATER, FL 337593012 (Tel: 7275321355)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Neurological Surgery (License #BP20025214 in TX)

✅

NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2013

Registered at 652 S MEDICAL CENTER DR, SUITE 420, SAINT GEORGE, UT 847907049 (Tel: 4352516800)

📍

Updated Business Mailing Address July 09, 2013

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 4352516800)

👤

Provider Name / Credentials Updated July 09, 2013

Recorded as BENJAMIN FOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Neurological Surgery (License #8573892-1205 in UT)

🟢

Initial NPI Registration & Enumeration January 21, 2010

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: 1184955734

Entity Type:

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

Enumeration Date: January 21, 2010

Last Update: July 16, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2995 Drew St Fl 2

Clearwater, FL 337593012

Phone: 7275321355

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.