Active NPI 1306879218 Individual Practitioner Male Practitioner

Dr. Matthew John Fox , MD

Specialist • Centerville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Fox, MD is a certified Specialist practicing in Centerville, OH. With approximately 34 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1992, Dr. Fox delivers high-quality medical care to the local community at 9985 DAYTON LEBANON PIKE.

Dr. Fox is affiliated with Plastic Surgery Institute Of Dayton, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9985 Dayton Lebanon Pike

Centerville, OH 45458

Telephone 9378862980

Fax 9378862982

Associated Practice Facility / Clinic

🏢 Psi Surgery Center, Llc. Facility NPI 1992738751

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Centerville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -2.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Centerville, OH (1444 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (34 Years) 34 Yrs

Centerville Specialty Average (36.0 Years) 36.0 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
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$116.89	$67.02
99213 Established patient office or other outpatient visit, typically 15 minutes	44	33	$129.32	$86.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$625.00	$156.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$90.00	$53.19
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	12	$845.00	$97.32
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$389.00	$85.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$190.00	$101.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	29	$125.00	$87.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$190.00	$106.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$90.00	$54.34
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$115.00	$69.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	17	$625.00	$139.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$190.00	$77.30

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	50	38	$90.00	$54.91
99213 Established patient office or other outpatient visit, typically 15 minutes	41	33	$125.00	$88.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$190.00	$110.07
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$115.00	$70.58
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	15	$845.00	$94.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	16	$389.00	$85.50
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	19	$1200.00	$271.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	12	$900.00	$227.80
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	15	$800.00	$229.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$190.00	$82.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	46	$122.87	$89.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$182.73	$109.66
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	17	$900.00	$232.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$90.00	$54.37
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	17	$1200.00	$267.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	49	$115.00	$73.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$170.00	$105.04
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	20	$900.00	$243.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	20	$1200.00	$272.08
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	13	$845.00	$93.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$170.00	$75.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	66	$109.74	$70.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$163.46	$102.76
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	15	$845.00	$90.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$160.91	$74.72
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	16	$1200.00	$278.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	18	$900.00	$249.08
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	15	$800.00	$207.23
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$108.18	$50.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	64	$100.00	$70.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$149.43	$103.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	24	$900.00	$242.94
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	23	$1200.00	$297.83
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	16	$845.00	$90.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$148.95	$75.13
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$100.00	$50.17
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	11	$215.00	$55.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	70	$100.00	$69.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$145.00	$103.60
99213 Established patient office or other outpatient visit, typically 15 minutes	37	12	$100.00	$49.69
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	25	$900.00	$239.46
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	17	$845.00	$101.83
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	16	$321.00	$70.39
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	22	$1200.00	$297.68
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	18	$600.00	$92.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$145.00	$74.89
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	15	$215.00	$55.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	12	$389.00	$80.12
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$525.00	$99.76

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35-06-8257-F

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2401681 (OH)

Commercial Insurance / Payer ID Humana/choice Care

D68257 (OH)

Commercial Insurance / Payer ID Workers Comp.

310961569-00 (OH)

Commercial Insurance / Payer ID Caresource

310961569031 (OH)

Hospital & Practice Group Affiliations

Plastic Surgery Institute Of Dayton, Inc

9985 Dayton Lebanon Pike, Centerville, OH 454584231

Phone: 9378862980

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Steven Schmidt , MD

Specialist

NPI 1306860002

Doctor of Medicine (M.D.)

Dr. Andrew Parrish , MD

Plastic Surgery

NPI 1447754403

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 9985 DAYTON LEBANON PIKE, CENTERVILLE, OH 45458 (Tel: 9378862980)

📍

Updated Business Mailing Address July 08, 2007

Registered at 9985 DAYTON LEBANON PIKE, CENTERVILLE, OH 45458 (Tel: 9378862980)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW FOX, M.D.

🎓

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

Specialist (License #35-06-8257-F in OH)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1306879218

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9985 Dayton Lebanon Pike

Centerville, OH 45458

Phone: 9378862980

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.