Active NPI 1548221328 Individual Practitioner Male Practitioner

Dr. Stephen P Fox , MD

Ophthalmology • Spencer, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Fox, MD is a certified Ophthalmology practicing in Spencer, IA. With approximately 33 years of clinical experience since graduating from Indiana University School Of Medicine in 1993, Dr. Fox delivers high-quality medical care to the local community at 1200 1ST AVE E.

Dr. Fox is affiliated with Wolfe Clinic Inc 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, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 1st Ave E
Suite A

Spencer, IA 513014342

Telephone 8005427956

Fax 6417546245

Associated Practice Facility / Clinic

🏢 Midwest Radiology And Imaging Pc Facility NPI 1720081524

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Spencer, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Spencer, IA (233 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (33 Years) 33 Yrs

Spencer Specialty Average (33.0 Years) 33.0 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	2,028	701	$96.56	$23.55
66984 Removal of cataract with insertion of lens	1,986	651	$1275.18	$235.35
92134 Imaging of retina	1,193	1,156	$111.00	$35.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	829	829	$304.00	$153.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	561	540	$201.00	$118.17
66821 Removal of recurring cataract in lens capsule using a laser	445	441	$999.89	$314.76
92133 Imaging of optic nerve	189	185	$110.00	$31.48
99213 Established patient office or other outpatient visit, typically 15 minutes	151	118	$140.00	$83.57
92083 Exam of visual field with extended testing	148	137	$177.00	$57.55
66982 Complex removal of cataract with insertion of prosthetic lens	108	51	$1423.85	$331.37
92014 Established patient complete exam of visual system	95	94	$303.00	$115.98
92004 New patient complete exam of visual system	59	59	$361.00	$137.80
92020 Examination of cornea and iris using lens device and slit lamp	50	48	$70.00	$25.37
92025 Ct scan of cornea	46	43	$98.00	$33.20
66174 Dilation of fluid outflow drainage within eye	28	19	$2903.00	$355.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$101.67	$51.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$200.00	$102.13
92012 Established patient problem focused exam of visual system	22	22	$211.00	$81.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,960	647	$1281.05	$237.17
92136 Measurement of corneal curvature and depth of eye	1,744	603	$96.55	$23.95
92134 Imaging of retina	1,226	1,186	$111.00	$36.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	560	560	$304.00	$154.45
66821 Removal of recurring cataract in lens capsule using a laser	438	434	$1062.62	$312.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	436	343	$201.00	$118.36
92014 Established patient complete exam of visual system	404	398	$303.00	$117.63
92133 Imaging of optic nerve	188	178	$110.00	$32.34
92004 New patient complete exam of visual system	169	169	$361.00	$139.85
92083 Exam of visual field with extended testing	160	150	$177.00	$57.28
99213 Established patient office or other outpatient visit, typically 15 minutes	139	109	$140.00	$83.78
66982 Complex removal of cataract with insertion of prosthetic lens	130	49	$1312.58	$298.03
92020 Examination of cornea and iris using lens device and slit lamp	45	43	$70.00	$25.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$85.00	$52.24
65820 Incision to improve eye fluid flow	30	21	$1973.00	$623.69
65855 Laser repair to improve eye fluid flow	24	22	$1706.25	$244.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$200.00	$103.34
66174 Dilation of fluid outflow drainage within eye	18	13	$2903.00	$453.56
92025 Ct scan of cornea	11	11	$98.00	$31.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,820	676	$1380.97	$261.53
92136 Measurement of corneal curvature and depth of eye	1,806	632	$96.67	$24.97
92134 Imaging of retina	1,230	1,179	$110.88	$36.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	588	470	$201.00	$120.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	539	539	$304.00	$156.15
66821 Removal of recurring cataract in lens capsule using a laser	405	400	$1053.19	$320.57
92014 Established patient complete exam of visual system	328	324	$303.00	$118.75
92133 Imaging of optic nerve	215	205	$110.00	$32.42
92083 Exam of visual field with extended testing	162	151	$177.00	$58.43
92004 New patient complete exam of visual system	148	148	$361.00	$140.38
99213 Established patient office or other outpatient visit, typically 15 minutes	138	116	$140.00	$85.07
76519 Ultrasound of eye for determination of lens power	131	46	$96.84	$30.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	87	$85.00	$52.75
66982 Complex removal of cataract with insertion of prosthetic lens	81	39	$1445.98	$336.04
65820 Incision to improve eye fluid flow	76	48	$1973.00	$747.71
92020 Examination of cornea and iris using lens device and slit lamp	42	40	$70.00	$25.22
92025 Ct scan of cornea	21	20	$98.00	$31.31
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$139.00	$68.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$200.00	$104.45
92012 Established patient problem focused exam of visual system	13	13	$211.00	$84.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76519 Ultrasound of eye for determination of lens power	2,234	771	$96.58	$31.25
66984 Removal of cataract with insertion of lens	1,402	716	$1200.60	$374.65
92134 Imaging of retina	1,352	1,292	$109.97	$37.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	885	885	$304.00	$159.50
92014 Established patient complete exam of visual system	413	405	$299.95	$121.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	346	$199.46	$123.31
66821 Removal of recurring cataract in lens capsule using a laser	359	354	$1114.17	$315.18
92133 Imaging of optic nerve	264	253	$109.83	$33.27
92012 Established patient problem focused exam of visual system	187	135	$208.70	$85.55
92083 Exam of visual field with extended testing	177	168	$175.96	$59.94
66982 Complex removal of cataract with insertion of prosthetic lens	113	77	$1386.90	$519.50
99213 Established patient office or other outpatient visit, typically 15 minutes	102	91	$136.32	$86.99
92020 Examination of cornea and iris using lens device and slit lamp	83	80	$69.52	$26.88
65820 Incision to improve eye fluid flow	78	48	$1950.03	$759.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$81.08	$53.38
92025 Ct scan of cornea	27	27	$97.37	$32.20
67840 Removal of eyelid growth	18	18	$721.39	$274.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$200.00	$106.48
92004 New patient complete exam of visual system	15	15	$357.00	$144.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,157	1,093	$110.00	$37.80
66984 Removal of cataract with insertion of lens	1,038	533	$1231.83	$396.00
76519 Ultrasound of eye for determination of lens power	892	313	$96.49	$31.53
92136 Measurement of corneal curvature and depth of eye	839	289	$96.57	$29.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	689	689	$304.00	$156.63
92014 Established patient complete exam of visual system	477	475	$297.00	$120.98
66821 Removal of recurring cataract in lens capsule using a laser	275	269	$1060.80	$308.99
92133 Imaging of optic nerve	261	259	$110.00	$33.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	200	$198.00	$104.24
99213 Established patient office or other outpatient visit, typically 15 minutes	203	162	$135.00	$71.55
92083 Exam of visual field with extended testing	194	188	$175.00	$60.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	126	$80.00	$43.00
66982 Complex removal of cataract with insertion of prosthetic lens	87	59	$1517.33	$583.99
92020 Examination of cornea and iris using lens device and slit lamp	72	72	$69.00	$26.84
0191T Internal insertion of eye fluid drainage device	68	42	$2793.00	$611.27
0376T Insertion of eye drainage device	68	42	$2525.00	$305.62
92012 Established patient problem focused exam of visual system	60	49	$206.00	$84.68
92025 Ct scan of cornea	39	39	$97.00	$32.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$200.00	$102.49
67840 Removal of eyelid growth	17	15	$728.47	$249.83
76514 Ultrasound scan of cornea to determine thickness	16	16	$130.00	$10.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	1,811	639	$96.45	$32.30
92134 Imaging of retina	1,258	1,169	$109.96	$37.63
66984 Removal of cataract with insertion of lens	1,151	608	$1220.92	$460.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	684	684	$304.00	$155.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	416	400	$198.00	$103.00
92014 Established patient complete exam of visual system	364	364	$297.00	$119.95
92133 Imaging of optic nerve	294	281	$110.00	$33.29
66821 Removal of recurring cataract in lens capsule using a laser	268	265	$1098.58	$316.31
99213 Established patient office or other outpatient visit, typically 15 minutes	260	210	$135.00	$70.20
92083 Exam of visual field with extended testing	238	215	$175.00	$60.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	149	$80.00	$42.33
92020 Examination of cornea and iris using lens device and slit lamp	93	85	$69.00	$26.50
92012 Established patient problem focused exam of visual system	78	67	$206.00	$83.63
0191T Internal insertion of eye fluid drainage device	75	46	$2793.00	$603.92
0376T Insertion of eye drainage device	71	43	$2525.00	$301.95
66982 Complex removal of cataract with insertion of prosthetic lens	61	46	$1463.21	$597.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$200.00	$101.83
92025 Ct scan of cornea	34	34	$97.00	$32.69
67840 Removal of eyelid growth	22	22	$721.77	$268.16
76514 Ultrasound scan of cornea to determine thickness	18	18	$130.00	$11.11
92004 New patient complete exam of visual system	12	12	$356.00	$143.93
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	11	11	$1001.82	$373.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	2,175	783	$96.89	$34.79
92134 Imaging of retina	1,435	1,358	$109.87	$37.60
66984 Removal of cataract with insertion of lens	1,332	762	$1282.34	$475.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	830	830	$304.00	$153.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	540	512	$198.00	$100.85
92014 Established patient complete exam of visual system	336	335	$297.00	$118.27
92133 Imaging of optic nerve	277	267	$110.00	$33.50
66821 Removal of recurring cataract in lens capsule using a laser	246	242	$1065.69	$303.73
92083 Exam of visual field with extended testing	245	229	$175.00	$59.67
99213 Established patient office or other outpatient visit, typically 15 minutes	220	187	$135.00	$68.34
92012 Established patient problem focused exam of visual system	159	135	$206.00	$82.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	106	$80.00	$40.79
0191T Internal insertion of eye fluid drainage device	94	59	$2793.00	$594.16
92020 Examination of cornea and iris using lens device and slit lamp	92	87	$69.00	$25.50
66982 Complex removal of cataract with insertion of prosthetic lens	83	65	$1391.47	$560.28
92025 Ct scan of cornea	66	66	$97.00	$32.55
92004 New patient complete exam of visual system	46	46	$356.00	$140.94
76514 Ultrasound scan of cornea to determine thickness	32	32	$130.00	$13.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$200.00	$100.25
67840 Removal of eyelid growth	11	11	$699.00	$257.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	1,499	527	$96.46	$37.96
92134 Imaging of retina	1,313	1,220	$106.06	$35.95
66984 Removal of cataract with insertion of lens	1,128	645	$1280.89	$464.07
92014 Established patient complete exam of visual system	538	535	$250.00	$115.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	353	$175.00	$100.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	401	401	$250.00	$152.77
92004 New patient complete exam of visual system	360	360	$300.00	$138.73
76519 Ultrasound of eye for determination of lens power	340	123	$96.38	$36.42
92012 Established patient problem focused exam of visual system	272	211	$175.00	$79.32
66821 Removal of recurring cataract in lens capsule using a laser	267	236	$826.63	$264.40
92133 Imaging of optic nerve	249	230	$110.00	$33.12
92083 Exam of visual field with extended testing	244	225	$175.00	$59.20
99213 Established patient office or other outpatient visit, typically 15 minutes	189	176	$120.00	$68.09
66982 Complex removal of cataract with insertion of prosthetic lens	149	110	$1593.58	$616.19
92025 Ct scan of cornea	91	91	$75.00	$32.27
92020 Examination of cornea and iris using lens device and slit lamp	84	72	$55.00	$25.35
0191T Internal insertion of eye fluid drainage device	78	51	$2525.00	$672.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	61	$70.00	$39.87
76514 Ultrasound scan of cornea to determine thickness	30	30	$130.00	$13.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$160.00	$98.41
65778 Insertion of amniotic membrane to eye surface	20	14	$3000.00	$1280.86
92002 New patient problem focused exam of visual system	13	13	$200.00	$75.58
67840 Removal of eyelid growth	12	11	$650.00	$262.92

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IA 38105

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0061705 (IA)

Commercial Insurance / Payer ID Wellmark Blue Cross Blue Shield

06170 (IA)

Hospital & Practice Group Affiliations

Wolfe Clinic Inc

1525 W 5th St, Storm Lake, IA 505883027

Phone: 7127324030

Wolfe Clinic Inc

112 Jefferson St, West Union, IA 521751022

Phone: 5153868196

Wolfe Clinic Inc

309 E Church St, Marshalltown, IA 501582946

Phone: 6417546200

Wolfe Clinic Inc

804 Kenyon Rd, Fort Dodge, IA 505015746

Phone: 5155767777

Wolfe Clinic Inc

2004 Hwy Blvd, Spencer, IA 513012112

Phone: 7122622379

Wolfe Clinic Inc

1341 W Main St, Lake City, IA 514491585

Phone: 7124643136

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Charles Barnes , MD

Ophthalmology

NPI 1033101860

Doctor of Medicine (M.D.)

Dr. Reid Turner , MD

Ophthalmology

NPI 1083976880

Doctor of Medicine (M.D.)

Dr. Alex Kartvelishvili , MD

Ophthalmology

NPI 1215124706

Doctor of Medicine (M.D.)

Dr. Thomas Meirick , MD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1417448408

Doctor of Medicine (M.D.)

Dr. Kyle Alliman , MD

Ophthalmology

NPI 1437360351

Doctor of Medicine (M.D.)

Katie Mennenga

Hearing Instrument Specialist

NPI 1619232766

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2016

Registered at 1200 1ST AVE E, SUITE A, SPENCER, IA 513014342 (Tel: 8005427956)

📍

Updated Business Mailing Address October 19, 2016

Registered at 309 E CHURCH ST, MARSHALLTOWN, IA 501582946 (Tel: 6417546200)

👤

Provider Name / Credentials Updated October 19, 2016

Recorded as STEPHEN FOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Ophthalmology (License #38105 in IA)

🟢

Initial NPI Registration & Enumeration March 31, 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: 1548221328

Entity Type:

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

Enumeration Date: March 31, 2006

Last Update: October 19, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

309 E Church St

Marshalltown, IA 501582946

Phone: 6417546200

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.