Active NPI 1629099031 Individual Practitioner Female Practitioner

Dr. Ida Keiko Fox , MD

Surgery - Plastic and Reconstructive Surgery • Saint Louis, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ida Fox, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Saint Louis, MO. With approximately 27 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1999, Dr. Fox delivers high-quality medical care to the local community at 4921 PARKVIEW PL.

Dr. Fox maintains professional affiliations with Health Facilities Rehab Services Inc, Washington University, Chesterton Physical Therapy Inc 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, new patient outpatient office visit, 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

4921 Parkview Pl
Div Surg Plastics, Ste 6g

Saint Louis, MO 631101032

Telephone 3143627388

Fax 8333010853

Associated Practice Facility / Clinic

🏢 The Retina Institute Llc Facility NPI 1407858673

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -0.2 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

29 Specialists

Practicing in Saint Louis, MO (65 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (27 Years) 27 Yrs

Saint Louis Specialty Average (27.2 Years) 27.2 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	40	34	$167.50	$86.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$412.00	$155.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$286.56	$121.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$370.83	$125.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	25	$160.31	$86.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$394.26	$161.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$251.67	$122.68

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	28	23	$235.00	$128.51
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$150.00	$87.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$385.00	$161.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	26	$105.00	$55.72
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$150.00	$91.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$235.00	$130.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$385.00	$169.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$275.00	$110.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$145.00	$71.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$267.93	$104.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$375.00	$160.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$105.00	$45.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$230.00	$109.83
64719 Release and/or relocation of wrist nerve	12	11	$1654.17	$240.78
64721 Release and/or relocation of hand nerve	12	11	$1865.21	$415.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	28	$105.00	$43.73
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$145.00	$73.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$265.00	$107.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$375.00	$155.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$230.00	$108.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	34	$92.65	$43.02
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$128.93	$69.79
15734 Creation of muscle graft to trunk	22	11	$5018.18	$1120.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$233.67	$102.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$334.17	$162.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	41	$117.62	$69.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	28	$84.59	$42.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$305.63	$158.32
15734 Creation of muscle graft to trunk	26	14	$7200.00	$993.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$215.91	$105.67

Medical Specialties & State Licenses

CMS Verified: 2025-09-30

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MO 2006009926

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204912901 (MO)

Hospital & Practice Group Affiliations

Washington University

4921 Parkview Pl, Saint Louis, MO 631101032

Phone: 3143627388

Chesterton Physical Therapy Inc

425 Sand Creek Dr, Chesterton, IN 463041589

Health Facilities Rehab Services Inc

1102 Sikes Ave, Sikeston, MO 638015021

Secondary Practice Locations

915 N Grand Blvd

Saint Louis, MO 631061621

Phone: 3146524100

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kian Pourak

Student in an Organized Health Care Education/Training Program

NPI 1053011676

Dr. Marissa Morningstar Tenenbaum , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1124232236

Doctor of Medicine (M.D.)

Dr. Mitchell Pet , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1134428758

Doctor of Medicine (M.D.)

John Tycher

Plastic Surgery

NPI 1164031738

Dr. Lucas Rohrer , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1164268561

Doctor of Medicine (M.D.)

Jana Dengler

Plastic Surgery - Surgery of the Hand

NPI 1205312741

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Business Mailing Address April 17, 2025

Registered at PO BOX 7412011, CHICAGO, IL 606742011 (Tel: 3143627388)

📍

Updated Business Mailing Address April 25, 2024

Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3143627388)

📍

Updated Practice Location November 12, 2021

Registered at 4921 PARKVIEW PL, DIV SURG PLASTICS, STE 6G, SAINT LOUIS, MO 631101032 (Tel: 3143627388)

📍

Updated Business Mailing Address November 12, 2021

Registered at 660 S EUCLID AVE, MSC 8238-43-1150, SAINT LOUIS, MO 631101010 (Tel: 3143627388)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 1040 N MASON RD, SAINT LOUIS, MO 631416399 (Tel: 3143627388)

📍

Updated Business Mailing Address January 24, 2018

Registered at 660 S EUCLID AVE, C B 8238, SAINT LOUIS, MO 631101010 (Tel: 3143627388)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as IDA FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Surgery (License #2006009926 in MO)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 1040 N MASON RD, SAINT LOUIS, MO 631416399 (Tel: 3143627388)

📍

Updated Business Mailing Address November 14, 2016

Registered at 660 S EUCLID AVE, C B 8238, SAINT LOUIS, MO 631101010 (Tel: 3143627388)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as IDA FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Surgery (License #2006009926 in MO)

🟢

Initial NPI Registration & Enumeration July 21, 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: 1629099031

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: September 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7412011

Chicago, IL 606742011

Phone: 3143627388

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.