Active NPI 1023051331 Individual Practitioner Male Practitioner

Dr. Edward J Fox , MD

Orthopaedic Surgery • Hershey, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edward Fox, MD is a certified Orthopaedic Surgery practicing in Hershey, PA. With approximately 31 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1995, Dr. Fox delivers high-quality medical care to the local community at 30 HOPE DR.

Dr. Fox is affiliated with The Milton S Hershey Medical Center Physicians Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, new 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

30 Hope Dr
Ec-089

Hershey, PA 170332036

Telephone 8002334082

Associated Practice Facility / Clinic

🏢 Lawall At Hershey, Inc. Facility NPI 1477554400

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hershey, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +12.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Hershey, PA (1345 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (31 Years) 31 Yrs

Hershey Specialty Average (18.4 Years) 18.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	315	259	$245.00	$62.41
99442 Telephone medical discussion with physician, 11-20 minutes	51	47	$244.00	$80.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$496.00	$126.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$306.00	$75.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$360.00	$92.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	313	263	$245.00	$64.10
99442 Telephone medical discussion with physician, 11-20 minutes	32	27	$244.00	$63.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$496.00	$127.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$306.00	$80.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$360.00	$89.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	249	$194.06	$65.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$404.31	$129.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$242.25	$82.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$279.47	$96.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	284	239	$136.00	$67.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$347.00	$135.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$209.00	$96.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$204.00	$83.34
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	16	16	$53.00	$13.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	237	$136.00	$51.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$204.00	$76.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$209.00	$77.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$347.00	$130.42
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	21	19	$53.00	$13.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	242	$136.00	$50.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$204.00	$76.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$347.00	$128.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$209.00	$78.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	273	$136.00	$50.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$223.68	$77.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$377.00	$122.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$236.67	$75.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	199	$136.00	$49.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$420.93	$124.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$224.60	$77.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$259.00	$75.58

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD423466

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

101105411 (PA)

Hospital & Practice Group Affiliations

The Milton S Hershey Medical Center Physicians Group

500 Universidy Dr, Hershey, PA 170332360

Phone: 7175318202

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kimberly Scholfield , MD

Emergency Medicine

NPI 1003864232

Doctor of Medicine (M.D.)

Dr. Eric Michael , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003867292

Doctor of Medicine (M.D.)

Robert Matthews , PA-C

Physician Assistant

NPI 1003873787

Physician Assistant (Certified)

Dr. James Ballard , MD

Internal Medicine - Hematology

NPI 1023067279

Doctor of Medicine (M.D.)

Dr. David Fehr , MD

Anesthesiology

NPI 1023068889

Doctor of Medicine (M.D.)

Dr. Robert Tamburro , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1033160379

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 October 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2009

Registered at 30 HOPE DR, EC-089, HERSHEY, PA 170332036 (Tel: 8002334082)

📍

Updated Business Mailing Address October 13, 2009

Registered at PO BOX 858, HERSHEY, PA 170330858 (Tel: 8002334082)

👤

Provider Name / Credentials Updated October 13, 2009

Recorded as EDWARD FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2009

Orthopaedic Surgery (License #MD423466 in PA)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1023051331

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: October 13, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 858

Hershey, PA 170330858

Phone: 8002334082

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.