Active NPI 1033163159 Individual Practitioner Male Practitioner

Scott Edward Fox , PA-C

Physician Assistant • Lenoir, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Fox, PA-C is a certified Physician Assistant practicing in Lenoir, NC. With approximately 21 years of clinical experience since completing medical education in 2005, Scott Fox delivers high-quality medical care to the local community at 1041 MORGANTON BLVD SW STE 100.

Scott Fox is affiliated with Emergeortho Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1041 Morganton Blvd Sw Ste 100

Lenoir, NC 286455605

Telephone 8289914660

Fax 8289914659

Associated Practice Facility / Clinic

🏢 Blue Ridge Healthcare Medical Group, Inc. Facility NPI 1891002374

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lenoir, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +11.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

23 Specialists

Practicing in Lenoir, NC (9374 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (21 Years) 21 Yrs

Lenoir Specialty Average (9.6 Years) 9.6 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	348	68	$2.40	$0.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	187	$311.90	$102.54
J1885 Injection, ketorolac tromethamine, per 15 mg	147	40	$2.00	$0.69
72110 X-ray of lower and sacral spine, minimum of 4 views	94	94	$124.27	$41.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$407.34	$131.56
99213 Established patient office or other outpatient visit, typically 15 minutes	82	69	$220.72	$73.33
72050 X-ray of upper spine, 4 or 5 views	47	46	$129.15	$42.38
20552 Injections of trigger points in 1 or 2 muscles	42	36	$183.28	$42.10
72040 X-ray of upper spine, 2-3 views	29	16	$95.92	$31.28
20610 Aspiration and/or injection of fluid from large joint	26	22	$246.62	$54.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	20	$48.55	$11.52
72100 X-ray of lower and sacral spine, 2-3 views	22	16	$96.72	$31.68
72120 X-ray lower and sacral spine including bending views 2 or 3 views	15	15	$99.13	$32.16
73502 X-ray of hip, 2-3 views	13	12	$100.26	$33.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	397	80	$2.40	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	255	$311.90	$104.51
99213 Established patient office or other outpatient visit, typically 15 minutes	141	109	$220.72	$73.91
72110 X-ray of lower and sacral spine, minimum of 4 views	127	125	$124.27	$41.65
J1885 Injection, ketorolac tromethamine, per 15 mg	106	39	$2.00	$0.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$407.34	$136.41
20610 Aspiration and/or injection of fluid from large joint	46	37	$221.11	$52.10
72100 X-ray of lower and sacral spine, 2-3 views	45	30	$93.62	$31.42
20552 Injections of trigger points in 1 or 2 muscles	44	36	$183.28	$43.24
72050 X-ray of upper spine, 4 or 5 views	43	42	$129.15	$43.28
72080 X-ray of middle and lower spine, 2 views	36	23	$79.68	$26.52
72040 X-ray of upper spine, 2-3 views	31	22	$93.70	$30.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	19	$48.55	$11.55
72120 X-ray lower and sacral spine including bending views 2 or 3 views	17	17	$94.89	$31.60
72070 X-ray of middle spine, 2 views	15	13	$76.05	$25.56
73502 X-ray of hip, 2-3 views	14	12	$95.02	$31.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	720	12	$35.98	$21.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	272	$264.12	$104.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	309	60	$2.44	$1.15
99213 Established patient office or other outpatient visit, typically 15 minutes	159	122	$201.45	$74.19
72110 X-ray of lower and sacral spine, minimum of 4 views	136	136	$135.82	$41.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$399.13	$137.85
J1885 Injection, ketorolac tromethamine, per 15 mg	95	39	$2.00	$0.56
72100 X-ray of lower and sacral spine, 2-3 views	80	43	$97.08	$32.15
72080 X-ray of middle and lower spine, 2 views	61	31	$82.95	$26.70
72040 X-ray of upper spine, 2-3 views	47	30	$184.50	$31.56
72050 X-ray of upper spine, 4 or 5 views	44	44	$234.10	$42.94
20552 Injections of trigger points in 1 or 2 muscles	41	37	$162.84	$44.33
72120 X-ray lower and sacral spine including bending views 2 or 3 views	30	30	$109.44	$33.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	22	$59.51	$11.71
72070 X-ray of middle spine, 2 views	24	18	$178.06	$27.08
20610 Aspiration and/or injection of fluid from large joint	24	18	$173.46	$54.55
73502 X-ray of hip, 2-3 views	22	18	$81.07	$31.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$260.80	$92.42

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	441	311	$259.53	$106.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	371	72	$4.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	175	135	$199.14	$75.87
72110 X-ray of lower and sacral spine, minimum of 4 views	145	145	$137.04	$41.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$398.55	$139.39
J1885 Injection, ketorolac tromethamine, per 15 mg	82	34	$1.92	$0.51
72100 X-ray of lower and sacral spine, 2-3 views	72	43	$91.60	$29.68
72050 X-ray of upper spine, 4 or 5 views	55	54	$247.00	$43.46
20610 Aspiration and/or injection of fluid from large joint	52	37	$176.88	$55.17
72120 X-ray lower and sacral spine including bending views 2 or 3 views	52	52	$109.08	$33.05
72040 X-ray of upper spine, 2-3 views	38	30	$194.00	$32.46
73502 X-ray of hip, 2-3 views	31	19	$78.40	$31.77
20552 Injections of trigger points in 1 or 2 muscles	26	22	$160.00	$45.45
72080 X-ray of middle and lower spine, 2 views	25	16	$80.06	$25.38
72070 X-ray of middle spine, 2 views	22	15	$187.00	$26.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	15	$60.78	$11.76

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	241	171	$239.28	$89.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	187	41	$14.59	$1.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	100	70	$35.00	$7.62
36415 Insertion of needle into vein for collection of blood sample	97	69	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	88	78	$162.89	$62.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	24	$68.34	$11.44
J1885 Injection, ketorolac tromethamine, per 15 mg	30	15	$2.02	$0.66
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$138.30	$39.78
83036 Hemoglobin A1C level	28	23	$52.00	$9.62
20610 Aspiration and/or injection of fluid from large joint	23	19	$163.57	$53.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$398.55	$137.97
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$93.92	$31.23
81001 Manual urinalysis test with examination using microscope, automated	14	14	$14.00	$3.12
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$151.55	$61.90

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	319	149	$187.00	$88.62
36415 Insertion of needle into vein for collection of blood sample	205	107	$11.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	186	108	$35.00	$8.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	141	29	$24.00	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	112	95	$123.00	$60.16
83036 Hemoglobin A1C level	59	32	$52.00	$10.57
20610 Aspiration and/or injection of fluid from large joint	32	22	$153.00	$51.52
G0008 Administration of influenza virus vaccine	27	27	$27.00	$15.79
90682 Influenza vaccine, quadrivalent derived from recombinant dna	21	21	$118.00	$54.89
81001 Manual urinalysis test with examination using microscope, automated	18	15	$13.00	$2.37
96127 Assessment of emotional or behavioral problems	15	12	$14.00	$4.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$210.00	$88.53

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	436	219	$182.00	$87.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	338	46	$23.00	$1.80
36415 Insertion of needle into vein for collection of blood sample	228	136	$11.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	189	129	$34.00	$9.34
99213 Established patient office or other outpatient visit, typically 15 minutes	143	109	$119.00	$59.38
20610 Aspiration and/or injection of fluid from large joint	63	34	$163.19	$52.59
83036 Hemoglobin A1C level	62	39	$50.00	$11.75
G0008 Administration of influenza virus vaccine	58	56	$26.00	$19.05
90662 Influenza vaccine split virus, preservative free	55	53	$79.00	$51.04
81003 Automated urinalysis test	49	45	$8.00	$2.71
81001 Manual urinalysis test with examination using microscope, automated	32	24	$15.00	$3.84
96127 Assessment of emotional or behavioral problems	27	24	$15.00	$5.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	12	$71.00	$16.59
G0009 Administration of pneumococcal vaccine	18	18	$26.00	$18.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$90.00	$81.90
71046 X-ray of chest, 2 views	13	13	$99.00	$24.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$204.00	$82.66
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$80.00	$27.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$271.00	$94.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	218	50	$4.00	$1.73
20610 Aspiration and/or injection of fluid from large joint	59	50	$172.34	$45.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$257.68	$87.21
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$199.14	$55.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$260.80	$78.98
73560 X-ray of knee, 1-2 views	20	18	$103.88	$22.77
27447 Replacement of knee joint, both sides of knee	18	18	$1183.00	$177.81
73030 X-ray of shoulder, minimum of 2 views	12	12	$131.00	$23.17
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$1217.20	$160.97

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-00183

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1033163159 (NC)

Hospital & Practice Group Affiliations

Emergeortho Pa

799 Doctors Ct, Roxboro, NC 275734571

Phone: 3365994079

Emergeortho Pa

232 Sharon Ave Nw, Lenoir, NC 286454326

Phone: 8287587091

Emergeortho Pa

2165 Medical Park Dr, Hickory, NC 286028809

Phone: 8283242800

Emergeortho Pa

503 E Parker Rd, Morganton, NC 286555104

Phone: 8284376500

Secondary Practice Locations

1041 Morganton Blvd Sw Ste 200

Lenoir, NC 286455605

Phone: 8289914660

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Stephanie Alm , MD

Family Medicine

NPI 1053574707

Doctor of Medicine (M.D.)

Laura Gerrald , PA

Physician Assistant

NPI 1063781144

Physician Assistant

Stephanie Chambers , PA

Physician Assistant

NPI 1083094304

Physician Assistant

Kathleen Lappin , PA-C

Physician Assistant

NPI 1184718199

Physician Assistant (Certified)

Dr. Evan Pogorelec , DO

Family Medicine

NPI 1295298024

Doctor of Osteopathic Medicine (D.O.)

Dr. Newman Lewis , MD

Family Medicine

NPI 1326088261

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location February 26, 2019

Registered at 1041 MORGANTON BLVD SW STE 100, LENOIR, NC 286455605 (Tel: 8289914660)

📍

Updated Business Mailing Address February 26, 2019

Registered at 1041 MORGANTON BLVD SW STE 100, LENOIR, NC 286455605 (Tel: 8289914660)

📍

Updated Practice Location March 09, 2018

Registered at 1041 MORGANTON BLVD SW STE 200, LENOIR, NC 286455605 (Tel: 8289914660)

📍

Updated Business Mailing Address March 09, 2018

Registered at 1041 MORGANTON BLVD SW STE 200, LENOIR, NC 286455605 (Tel: 8289914660)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Physician Assistant (License #0010-00183 in NC)

✅

NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2016

Registered at 232 SHARON AVE NW, LENOIR, NC 286454326 (Tel: 8287587091)

📍

Updated Business Mailing Address April 29, 2016

Registered at 232 SHARON AVE NW, SUITE 200, LENOIR, NC 286454326 (Tel: 8287587091)

👤

Provider Name / Credentials Updated April 29, 2016

Recorded as SCOTT FOX, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Physician Assistant (License #129323 in NC)

🟢

Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1033163159

Entity Type:

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

Enumeration Date: May 22, 2006

Last Update: February 26, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1041 Morganton Blvd Sw Ste 100

Lenoir, NC 286455605

Phone: 8289914660

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.