Active NPI 1851480586 Individual Practitioner Male Practitioner

Kenneth J Fox , PA

Physician Assistant • Youngstown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Fox, PA is a certified Physician Assistant practicing in Youngstown, OH. With approximately 31 years of clinical experience since completing medical education in 1995, Kenneth Fox delivers high-quality medical care to the local community at 1044 BELMONT AVE.

Kenneth Fox is affiliated with Columbus Radiology Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include drainage of fluid from abdominal cavity using imaging guidance, aspiration of fluid from chest cavity using imaging guidance, removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1044 Belmont Ave

Youngstown, OH 445041006

Telephone 3307467211

Fax 3306565901

Associated Practice Facility / Clinic

🏢 Select Specialty Hospital - Youngstown Inc Facility NPI 1043210495

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Youngstown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +19.6 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

53 Specialists

Practicing in Youngstown, OH (5376 Statewide)

Telehealth Adoption Rate

7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (31 Years) 31 Yrs

Youngstown Specialty Average (11.4 Years) 11.4 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
49083 Drainage of fluid from abdominal cavity using imaging guidance	134	30	$1931.00	$81.51
32555 Aspiration of fluid from chest cavity using imaging guidance	94	64	$2273.40	$90.06
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	14	14	$1508.00	$66.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	34	20	$1755.00	$85.62
32555 Aspiration of fluid from chest cavity using imaging guidance	32	29	$2270.56	$92.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	65	64	$1040.13	$101.22
99285 Emergency department visit for life threatening or functioning severity	50	50	$1531.94	$151.84
99283 Emergency department visit with low level of medical decision making	41	41	$560.72	$60.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$75.24	$6.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	79	78	$996.00	$104.82
99283 Emergency department visit with low level of medical decision making	57	56	$525.00	$60.59
99285 Emergency department visit for life threatening or functioning severity	35	35	$1467.00	$148.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	18	$72.00	$6.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	295	176	$30.00	$7.74
71046 X-ray of chest, 2 views	145	137	$40.00	$9.25
74230 Imaging for evaluation of swallowing function	130	119	$100.00	$22.36
73502 X-ray of hip, 2-3 views	74	63	$40.00	$9.56
73560 X-ray of knee, 1-2 views	45	36	$30.00	$7.16
73552 X-ray of thigh bone, minimum 2 views	43	33	$33.00	$7.76
73030 X-ray of shoulder, minimum of 2 views	40	33	$30.00	$8.04
74018 X-ray of abdomen, 1 view	39	39	$30.00	$7.75
77080 Dxa bone density measurement of hip, pelvis, spine	36	36	$40.00	$8.36
73110 X-ray of wrist, minimum of 3 views	32	22	$30.00	$7.47
74420 Imaging of urinary tract	32	31	$75.00	$21.57
73610 X-ray of ankle, minimum of 3 views	31	20	$30.00	$7.48
49083 Drainage of fluid from abdominal cavity using imaging guidance	27	16	$422.00	$92.79
73562 X-ray of knee, 3 views	26	20	$30.00	$8.05
73630 X-ray of foot, minimum of 3 views	20	17	$30.00	$7.21
73130 X-ray of hand, minimum of 3 views	18	14	$30.00	$7.48
73080 X-ray of elbow, minimum of 3 views	17	14	$30.00	$7.48
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$40.00	$9.54
93922 Ultrasound study of arm and leg arteries	15	15	$50.00	$10.83
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$60.00	$11.03
99284 Emergency department visit with moderate level of medical decision making	14	14	$996.00	$96.49
72190 X-ray of pelvis, minimum of 3 views	13	11	$40.00	$10.75
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	13	13	$275.00	$77.64
73590 X-ray of lower leg, 2 views	13	11	$30.00	$6.86
72040 X-ray of upper spine, 2-3 views	12	12	$40.00	$9.54
77012 Review by radiologist of ct guidance for needle placement	11	11	$220.00	$63.07
38222 Biopsy and aspiration of bone marrow sample for diagnosis	11	11	$234.00	$66.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	144	123	$100.00	$22.37
71045 X-ray of chest, 1 view	127	93	$30.00	$7.67
71046 X-ray of chest, 2 views	90	88	$40.00	$9.14
73502 X-ray of hip, 2-3 views	69	60	$40.00	$9.43
73560 X-ray of knee, 1-2 views	60	45	$30.00	$7.06
49083 Drainage of fluid from abdominal cavity using imaging guidance	53	27	$422.00	$91.47
73552 X-ray of thigh bone, minimum 2 views	51	36	$33.00	$7.67
77080 Dxa bone density measurement of hip, pelvis, spine	46	46	$40.00	$8.23
72100 X-ray of lower and sacral spine, 2-3 views	38	34	$40.00	$9.43
73030 X-ray of shoulder, minimum of 2 views	36	32	$30.00	$7.94
74018 X-ray of abdomen, 1 view	31	30	$30.00	$7.67
73610 X-ray of ankle, minimum of 3 views	30	24	$30.00	$7.36
32555 Aspiration of fluid from chest cavity using imaging guidance	29	28	$450.00	$93.49
72110 X-ray of lower and sacral spine, minimum of 4 views	26	26	$60.00	$13.26
73110 X-ray of wrist, minimum of 3 views	20	16	$30.00	$7.37
93923 Complete ultrasound study of arm and leg arteries	19	19	$90.00	$18.68
73630 X-ray of foot, minimum of 3 views	19	18	$30.00	$7.08
73562 X-ray of knee, 3 views	17	14	$30.00	$7.95
73130 X-ray of hand, minimum of 3 views	17	12	$30.00	$7.36
72190 X-ray of pelvis, minimum of 3 views	15	12	$40.00	$9.12
77003 Fluoroscopic guidance for spine or back muscle injection	14	14	$110.00	$25.39
62304 X-ray of lower spinal canal with review by radiologist	12	12	$404.00	$101.55
62270 Spinal tap for diagnosis	12	12	$280.00	$62.83
72040 X-ray of upper spine, 2-3 views	12	12	$40.00	$9.43
38222 Biopsy and aspiration of bone marrow sample for diagnosis	11	11	$234.00	$59.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	79	78	$432.00	$98.12
99283 Emergency department visit with low level of medical decision making	56	56	$286.00	$51.08
99285 Emergency department visit for life threatening or functioning severity	36	36	$651.00	$144.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	60	60	$432.00	$98.47
99283 Emergency department visit with low level of medical decision making	51	50	$286.00	$51.88
99285 Emergency department visit for life threatening or functioning severity	41	40	$651.00	$145.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$71.00	$7.08

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50000865

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

0098212 (OH)

Hospital & Practice Group Affiliations

Columbus Radiology Corp

111 S Grant Ave, Columbus, OH 432154701

Phone: 6142287231

Columbus Radiology Corp

2213 Cherry St, Toledo, OH 436082603

Phone: 4192514155

Columbus Radiology Corp

8401 Market St, Youngstown, OH 445126725

Phone: 3307292929

Columbus Radiology Corp

1044 Belmont Ave, Youngstown, OH 445041006

Phone: 3307467211

Practice Associates & Co-Workers

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

40 Associated Practitioners

Donald Huff , RD, LD

Dietitian, Registered

NPI 1003517103

Registered Dietitian, Licensed Dietitian

Eric Haybarger

Physical Therapist

NPI 1013428408

Dr. Breanne Gillie , MD

Surgery

NPI 1013587203

Doctor of Medicine (M.D.)

Dr. Robert Zimmerman , MD

Emergency Medicine

NPI 1023093960

Doctor of Medicine (M.D.)

Justin Cibik , APRN, CNP

Nurse Practitioner - Acute Care

NPI 1023896669

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. David Jackson , MD

Emergency Medicine

NPI 1033195607

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated January 28, 2019

Recorded as KENNETH FOX, PA

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1044 BELMONT AVE, YOUNGSTOWN, OH 445041006 (Tel: 3307467211)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5700 DARROW RD, SUITE 106, HUDSON, OH 442365021 (Tel: 3306565911)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KEN FOX, PA

🎓

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

Physician Assistant (License #50000865 in OH)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1851480586

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: May 16, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5700 Darrow Rd, Suite 106

Hudson, OH 442365021

Phone: 3306565911

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.