Active NPI 1497799480 Individual Practitioner Male Practitioner

Dr. Richard Stuart Fox , MD

Plastic Surgery • Fall River, MA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Richard Fox, MD is a certified Plastic Surgery practicing in Fall River, MA. With approximately 51 years of clinical experience since graduating from Temple University School Of Medicine in 1975, Dr. Fox delivers high-quality medical care to the local community at 851 MIDDLE ST STE 3500.

Dr. Fox maintains professional affiliations with Lifespan Physician Group Of Massachusetts Inc, Lifespan Of Massachusetts - Fall River Inc, Brockton Recovery Medical Associates Pc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, 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

851 Middle St Ste 3500

Fall River, MA 027211786

Telephone 5082355229

Fax 5082355106

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1975

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs Matches City Avg

City Avg: 51.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Fall River, MA (152 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (51 Years) 51 Yrs

Fall River Specialty Average (51.0 Years) 51.0 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	391	32	$120.00	$92.02
80307 Testing for presence of drug, by chemistry analyzers	328	29	$102.13	$60.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	117	26	$74.26	$23.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	31	$175.00	$129.82
11042 Removal of skin and tissue, 20.0 sq cm or less	33	11	$1373.02	$60.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	977	36	$100.00	$60.90
99213 Established patient office or other outpatient visit, typically 15 minutes	595	33	$120.00	$92.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	384	32	$80.00	$24.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,241	43	$100.00	$61.34
99213 Established patient office or other outpatient visit, typically 15 minutes	769	47	$120.80	$94.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	481	42	$80.00	$24.42
81025 Urine pregnancy test	280	15	$10.00	$8.49
11042 Removal of skin and tissue, 20.0 sq cm or less	62	48	$254.00	$62.19
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$208.00	$67.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$321.00	$101.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,309	59	$100.00	$62.14
99213 Established patient office or other outpatient visit, typically 15 minutes	765	51	$120.00	$95.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	620	57	$80.00	$24.14
81025 Urine pregnancy test	258	21	$10.00	$8.61
11042 Removal of skin and tissue, 20.0 sq cm or less	190	123	$254.00	$61.94
99213 Established patient office or other outpatient visit, typically 15 minutes	129	103	$208.00	$69.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	102	29	$110.00	$27.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	32	$277.54	$103.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$310.00	$86.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$525.00	$140.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$104.00	$37.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,227	65	$100.00	$61.87
99213 Established patient office or other outpatient visit, typically 15 minutes	796	62	$100.00	$79.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	524	58	$30.57	$24.58
81025 Urine pregnancy test	255	24	$10.00	$8.57
11042 Removal of skin and tissue, 20.0 sq cm or less	148	61	$255.41	$64.33
99213 Established patient office or other outpatient visit, typically 15 minutes	141	53	$209.08	$53.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	24	$234.37	$82.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$310.00	$79.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$296.00	$75.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,239	52	$100.00	$63.36
99213 Established patient office or other outpatient visit, typically 15 minutes	659	49	$100.00	$77.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	629	50	$30.00	$23.94
81025 Urine pregnancy test	302	16	$10.00	$8.44
99213 Established patient office or other outpatient visit, typically 15 minutes	265	96	$193.29	$52.93
11042 Removal of skin and tissue, 20.0 sq cm or less	129	56	$254.00	$63.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$310.00	$79.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	13	$322.00	$81.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,009	65	$100.00	$70.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	534	59	$30.39	$21.32
99213 Established patient office or other outpatient visit, typically 15 minutes	483	52	$100.00	$71.42
99213 Established patient office or other outpatient visit, typically 15 minutes	349	110	$210.00	$51.21
81025 Urine pregnancy test	286	18	$10.00	$8.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	94	$102.00	$24.77
11042 Removal of skin and tissue, 20.0 sq cm or less	129	62	$254.00	$62.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	33	$322.00	$78.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$310.00	$77.23
97597 Removal of tissue from wound, 20.0 sq cm or less	12	11	$99.00	$24.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	691	38	$100.00	$62.85
99213 Established patient office or other outpatient visit, typically 15 minutes	442	36	$100.00	$70.89
84315 Specific gravity (liquid weight) measurement	422	33	$10.00	$3.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	272	95	$102.00	$24.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	252	30	$30.00	$19.82
81025 Urine pregnancy test	189	14	$10.00	$8.50
99213 Established patient office or other outpatient visit, typically 15 minutes	144	74	$210.00	$49.31
11042 Removal of skin and tissue, 20.0 sq cm or less	93	56	$254.00	$58.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$310.00	$72.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$322.00	$76.34

Medical Specialties & State Licenses

CMS Verified: 2026-01-12

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 54657

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6196802 (MA)

Commercial Insurance / Payer ID Bmc

000000024395 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

21030 (MA)

Commercial Insurance / Payer ID Tufts

716100 (MA)

Hospital & Practice Group Affiliations

Lifespan Of Massachusetts - Fall River Inc

795 Middle St, Fall River, MA 027211733

Phone: 50867456002000

Brockton Recovery Medical Associates Pc

375 Westgate Dr, Brockton, MA 023011818

Phone: 8575442776

Lifespan Physician Group Of Massachusetts Inc

795 Middle St, Fall River, MA 027211733

Phone: 5086745600

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Raymond Khawand , MD

Emergency Medicine - Emergency Medical Services

NPI 1952382558

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 12, 2026

Registered at 851 MIDDLE ST STE 3500, FALL RIVER, MA 027211786 (Tel: 5082355229)

📍

Updated Business Mailing Address January 12, 2026

Registered at 851 MIDDLE ST STE 3500, FALL RIVER, MA 027211786 (Tel: 5082355229)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 300A FAUNCE CORNER RD, SUITE 202, NORTH DARTMOUTH, MA 027471257 (Tel: 5089952226)

📍

Updated Business Mailing Address July 08, 2007

Registered at P O BOX 843451, BOSTON, MA 022843451 (Tel: 5089952226)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD FOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #54657 in MA)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1497799480

Entity Type:

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

Enumeration Date: June 16, 2006

Last Update: January 12, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

851 Middle St Ste 3500

Fall River, MA 027211786

Phone: 5082355229

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.