Active NPI 1629459706 Individual Practitioner Male Practitioner

Matthew E. Fox , PA

Physician Assistant • Anderson, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Fox, PA is a certified Physician Assistant practicing in Anderson, IN. With approximately 11 years of clinical experience since completing medical education in 2015, Matthew Fox delivers high-quality medical care to the local community at 1515 N MADISON AVE.

Matthew Fox maintains professional affiliations with Community Physicians Of Indiana Inc, Community Physician Network Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 N Madison Ave

Anderson, IN 460113453

Telephone 7652985141

Associated Practice Facility / Clinic

🏢 Community Pathology & Nuclear Medicine Pc Facility NPI 1356346530

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Anderson, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +2.9 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 9.4 Yrs

Regional Practice Density

39 Specialists

Practicing in Anderson, IN (2429 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (11 Years) 11 Yrs

Anderson Specialty Average (8.1 Years) 8.1 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$109.00	$61.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$208.00	$101.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$208.00	$103.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$109.00	$60.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	91	87	$671.00	$97.68
99285 Emergency department visit for life threatening or functioning severity	86	84	$1037.00	$140.60
99283 Emergency department visit with low level of medical decision making	33	33	$406.00	$57.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	97	96	$671.00	$99.41
99285 Emergency department visit for life threatening or functioning severity	90	88	$1037.00	$144.59
99283 Emergency department visit with low level of medical decision making	42	42	$406.00	$58.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	109	105	$1037.00	$139.31
99284 Emergency department visit with moderate level of medical decision making	106	105	$671.00	$97.14
99283 Emergency department visit with low level of medical decision making	36	36	$406.00	$51.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	137	131	$671.00	$94.67
99285 Emergency department visit for life threatening or functioning severity	101	99	$1037.00	$136.09
99283 Emergency department visit with low level of medical decision making	67	65	$406.00	$49.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$53.00	$6.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	159	155	$671.00	$93.92
99285 Emergency department visit for life threatening or functioning severity	86	82	$1037.00	$139.16
99283 Emergency department visit with low level of medical decision making	67	65	$406.00	$49.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	63	59	$53.00	$6.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	174	168	$586.95	$94.02
99285 Emergency department visit for life threatening or functioning severity	117	115	$853.92	$138.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	92	86	$53.00	$6.91
99283 Emergency department visit with low level of medical decision making	73	73	$365.93	$50.09

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Community Physicians Of Indiana Inc

8075 N Shadeland Ave, Indianapolis, IN 462502693

Community Physicians Of Indiana Inc

7150 Clearvista Dr, Indianapolis, IN 462561695

Phone: 3176216262

Community Physicians Of Indiana Inc

8075 N Shadeland Ave, Indianapolis, IN 462502694

Community Physicians Of Indiana Inc

1402 E County Line Rd, Indianapolis, IN 462270963

Phone: 3178877880

Community Physicians Of Indiana Inc

1402 E County Rd S, Indianapolis, IN 462270963

Phone: 3174976666

Community Physicians Of Indiana Inc

1440 E County Line Rd, Indianapolis, IN 462270963

Community Physicians Of Indiana Inc

1210 Medical Arts Blvd, Anderson, IN 460113437

Community Physician Network Specialty Care Llc

8075 N Shadeland Ave, Indianapolis, IN 462502693

Phone: 3176218000

Community Physicians Of Indiana Inc

1515 N Madison Ave, Anderson, IN 460113453

Community Physicians Of Indiana Inc

325 Westfield Rd, Noblesville, IN 460601496

Phone: 3173539338

Community Physicians Of Indiana Inc

1402 E County Line Rd, Indianapolis, IN 462270963

Phone: 3178877113

Community Physicians Of Indiana Inc

7120 Clearvista Dr, Indianapolis, IN 462561774

Phone: 3176217444

Practice Associates & Co-Workers

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

11 Associated Practitioners

Adrianna Bottomley , PA-C, MPAS

Physician Assistant

NPI 1003303074

Physician Assistant (Certified), MPAS

Dr. Kirk Hofmann , MD

Emergency Medicine

NPI 1063430072

Doctor of Medicine (M.D.)

Dr. Clayton Ludlow , DO

Emergency Medicine

NPI 1144455288

Doctor of Osteopathic Medicine (D.O.)

Christopher Thompson , PA

Physician Assistant

NPI 1205449345

Physician Assistant

Anna Phillips , PA

Physician Assistant

NPI 1336874387

Physician Assistant

Dr. Christopher Miller , MD

Emergency Medicine

NPI 1346263811

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2015

Registered at 1515 N MADISON AVE, ANDERSON, IN 460113453 (Tel: 7652985141)

📍

Updated Business Mailing Address June 15, 2015

Registered at PO BOX 61, LAPEL, IN 460510061 (Tel: 8607946891)

👤

Provider Name / Credentials Updated June 15, 2015

Recorded as MATTHEW FOX, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2015

Physician Assistant

🟢

Initial NPI Registration & Enumeration June 15, 2015

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: 1629459706

Entity Type:

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

Enumeration Date: June 15, 2015

Last Update: June 15, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 61

Lapel, IN 460510061

Phone: 8607946891

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.