Active NPI 1538131560 Individual Practitioner Male Practitioner

Dr. Daniel E Fox , MD

Orthopaedic Surgery • Toms River, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Fox, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Toms River, NJ. Practice services are available at 111 W WATER ST under active NPI credentials.

Frequently performed procedures and clinical services include hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, preservative free, 1 mg, established patient 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

111 W Water St

Toms River, NJ 087536407

Telephone 7325058844

Fax 7325054485

Associated Practice Facility / Clinic

🏢 The Center For Orthopedics & Sports Medicine, Pa Facility NPI 1548232960

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Toms River, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

18 Specialists

Practicing in Toms River, NJ (746 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	1,475	18	$33.82	$15.63
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	1,280	22	$7.17	$3.87
99213 Established patient office or other outpatient visit, typically 15 minutes	161	84	$128.69	$98.84
20610 Aspiration and/or injection of fluid from large joint	96	46	$117.10	$72.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	73	17	$30.85	$1.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$201.67	$120.88
73030 X-ray of shoulder, minimum of 2 views	46	37	$61.10	$39.75
73560 X-ray of knee, 1-2 views	42	29	$66.98	$39.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	28	$188.43	$139.80
73565 X-ray of both knees while standing	36	32	$72.75	$46.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$343.81	$182.00
73562 X-ray of knee, 3 views	16	12	$85.36	$47.02
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$60.98	$45.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	964	18	$95.53	$31.67
99213 Established patient office or other outpatient visit, typically 15 minutes	236	120	$148.88	$99.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	20	$15.00	$1.21
20610 Aspiration and/or injection of fluid from large joint	94	63	$157.56	$73.03
73560 X-ray of knee, 1-2 views	74	60	$71.60	$38.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$218.59	$123.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	46	$220.60	$138.90
73565 X-ray of both knees while standing	67	61	$84.19	$46.67
J1030 Injection, methylprednisolone acetate, 40 mg	53	40	$105.79	$5.68
77085 Bone density measurement using dedicated x-ray machine	45	45	$270.01	$59.70
73030 X-ray of shoulder, minimum of 2 views	40	38	$82.72	$39.03
72100 X-ray of lower and sacral spine, 2-3 views	30	26	$68.51	$45.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	29	$314.25	$182.99
73502 X-ray of hip, 2-3 views	14	13	$64.45	$53.22
72040 X-ray of upper spine, 2-3 views	12	11	$56.15	$44.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,968	27	$67.00	$31.50
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	576	15	$57.81	$18.59
99213 Established patient office or other outpatient visit, typically 15 minutes	218	99	$97.97	$81.77
20610 Aspiration and/or injection of fluid from large joint	114	59	$95.90	$72.71
73565 X-ray of both knees while standing	78	62	$53.84	$43.11
73560 X-ray of knee, 1-2 views	77	61	$46.01	$37.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	48	$163.12	$116.95
77085 Bone density measurement using dedicated x-ray machine	66	66	$95.86	$59.48
73030 X-ray of shoulder, minimum of 2 views	43	35	$54.73	$35.96
J1030 Injection, methylprednisolone acetate, 40 mg	42	36	$110.00	$6.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$138.22	$117.26
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$62.40	$40.65
73502 X-ray of hip, 2-3 views	14	13	$229.63	$47.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$236.50	$178.14
72040 X-ray of upper spine, 2-3 views	12	12	$68.77	$40.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,680	25	$67.00	$22.79
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,088	28	$75.14	$18.58
99213 Established patient office or other outpatient visit, typically 15 minutes	303	107	$85.84	$79.43
20610 Aspiration and/or injection of fluid from large joint	181	77	$96.11	$74.58
77085 Bone density measurement using dedicated x-ray machine	126	126	$68.24	$59.96
73565 X-ray of both knees while standing	109	82	$43.88	$41.13
73560 X-ray of knee, 1-2 views	104	79	$39.97	$35.56
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	103	20	$650.97	$485.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	53	$130.73	$114.69
J1030 Injection, methylprednisolone acetate, 40 mg	71	46	$95.61	$6.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$128.55	$115.74
73030 X-ray of shoulder, minimum of 2 views	48	41	$40.67	$33.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$207.83	$174.53
73110 X-ray of wrist, minimum of 3 views	20	12	$42.80	$40.29
72100 X-ray of lower and sacral spine, 2-3 views	20	18	$42.60	$40.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	13	$132.49	$104.54
73502 X-ray of hip, 2-3 views	14	12	$356.00	$47.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,536	23	$67.00	$18.95
99213 Established patient office or other outpatient visit, typically 15 minutes	151	73	$85.77	$73.69
77085 Bone density measurement using dedicated x-ray machine	109	109	$68.24	$59.27
73565 X-ray of both knees while standing	66	51	$44.48	$37.27
20610 Aspiration and/or injection of fluid from large joint	66	43	$99.93	$72.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	36	$127.16	$108.51
73560 X-ray of knee, 1-2 views	56	47	$37.66	$32.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	37	$23.93	$22.29
73030 X-ray of shoulder, minimum of 2 views	34	27	$34.94	$30.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$128.55	$108.79
J1030 Injection, methylprednisolone acetate, 40 mg	26	25	$7.50	$6.75
73502 X-ray of hip, 2-3 views	17	17	$356.00	$43.04
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$42.27	$36.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$194.51	$165.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	768	11	$66.99	$17.39
99213 Established patient office or other outpatient visit, typically 15 minutes	98	35	$108.91	$75.40
77085 Bone density measurement using dedicated x-ray machine	93	92	$68.24	$59.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	88	87	$23.93	$21.22
20610 Aspiration and/or injection of fluid from large joint	54	26	$130.83	$76.16
73565 X-ray of both knees while standing	42	23	$66.75	$38.08
73560 X-ray of knee, 1-2 views	42	20	$53.11	$32.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	20	$174.19	$110.62
J1030 Injection, methylprednisolone acetate, 40 mg	22	15	$9.89	$5.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$128.55	$111.57

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NJ MA52188

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

15 Associated Practitioners

Eleanor Dominguez-Curatolo , NP

Nurse Practitioner - Family

NPI 1003153529

Nurse Practitioner

Dr. Faustino Estella , MD

Surgery

NPI 1023119757

Doctor of Medicine (M.D.)

Dr. Christina Gilson , DPT

Physical Therapist

NPI 1194950543

Doctor of Physical Therapy

Colleen Fagan

Physical Therapist

NPI 1285714808

Carol Vasold , CRNP

Nurse Practitioner - Family

NPI 1316255979

Certified Registered Nurse Practitioner

Kristen Lewis , APN

Nurse Practitioner - Family

NPI 1417403056

Advanced Practice Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 26, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 26, 2008

Registered at 111 W WATER ST, TOMS RIVER, NJ 087536407 (Tel: 7325058844)

📍

Updated Business Mailing Address June 26, 2008

Registered at PO BOX 5016, TOMS RIVER, NJ 087545016 (Tel: 7325058844)

👤

Provider Name / Credentials Updated June 26, 2008

Recorded as DANIEL FOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2008

Orthopaedic Surgery (License #MA52188 in NJ)

🟢

Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538131560

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: June 26, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5016

Toms River, NJ 087545016

Phone: 7325058844

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.