Active NPI 1003854837 Individual Practitioner Female Practitioner

Dr. Patricia A Fox , MD

Plastic Surgery • Schenectady, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patricia Fox, MD is a certified Plastic Surgery practicing in Schenectady, NY. With approximately 54 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1972, Dr. Fox delivers high-quality medical care to the local community at 624 MCCLELLAN ST.

Dr. Fox is affiliated with Fox And Schingo Plastic Surgery Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

624 Mcclellan St
Suite 203

Schenectady, NY 123041020

Telephone 5183462358

Fax 5183723885

Associated Practice Facility / Clinic

🏢 St. Clare's Hospital Of Schenectady New York Facility NPI 1669570313

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Schenectady, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +10.0 yrs vs City Avg

City Avg: 44.0 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Schenectady, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (54 Years) 54 Yrs

Schenectady Specialty Average (44.0 Years) 44.0 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	19	13	$145.00	$86.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$145.00	$86.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$145.00	$88.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$250.00	$108.71
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	17	12	$300.00	$103.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$325.00	$162.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$365.00	$214.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$250.00	$110.08
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$145.00	$89.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$365.00	$217.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$185.00	$127.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$325.00	$164.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$133.33	$73.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$217.86	$104.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$185.00	$105.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$318.75	$160.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$105.00	$71.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$175.00	$103.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$185.00	$104.63
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	18	13	$281.94	$109.35
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	13	$612.50	$350.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$325.00	$198.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$250.00	$157.65
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$243.75	$96.50

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	36	33	$185.00	$103.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$250.00	$158.11
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	25	19	$235.00	$100.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$175.00	$103.39
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$105.00	$70.26
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	19	14	$225.00	$87.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$325.00	$199.18
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$550.00	$328.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	16	$105.00	$70.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$158.33	$103.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$250.00	$157.60
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	16	12	$260.00	$80.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$166.25	$103.29

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 134538-1

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

00527275 (NY)

Hospital & Practice Group Affiliations

Fox And Schingo Plastic Surgery Pc

1214 Troy Schenectady Rd, Latham, NY 121101032

Phone: 5183462358

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Victor Schingo , MD

Plastic Surgery

NPI 1508811498

Doctor of Medicine (M.D.)

Kelly Heffernan , FNP

Nurse Practitioner - Family

NPI 1861697153

Family Nurse Practitioner

Danielle Kopecki

Physician Assistant

NPI 1861958886

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2010

Registered at 624 MCCLELLAN ST, SUITE 203, SCHENECTADY, NY 123041020 (Tel: 5183462358)

📍

Updated Business Mailing Address July 20, 2010

Registered at 624 MCCLELLAN ST, SUITE 203, SCHENECTADY, NY 123041020 (Tel: 5183462358)

👤

Provider Name / Credentials Updated July 20, 2010

Recorded as PATRICIA FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2010

Plastic Surgery (License #134538-1 in NY)

🟢

Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Patricia Fox. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003854837

Entity Type:

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

Enumeration Date: June 03, 2006

Last Update: July 20, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

624 Mcclellan St, Suite 203

Schenectady, NY 123041020

Phone: 5183462358

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.