Active NPI 1134180862 Individual Practitioner Male Practitioner

Dr. Timothy T Fox , MD

Surgery • Paoli, PA

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Fox, MD is a registered healthcare professional specializing in Surgery in Paoli, PA. Practice services are available at 255 W LANCASTER AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

255 W Lancaster Ave
Mob Iii, Suite 332

Paoli, PA 193011763

Telephone 6106473077

Fax 6109930668

Associated Practice Facility / Clinic

🏢 Main Line Emergency Med Associates Llc Facility NPI 1316919368

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Paoli, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Paoli, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

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	91	78	$143.00	$116.04
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$99.00	$80.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$166.00	$116.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$236.00	$176.85
49505 Repair of groin hernia (5 years or older)	31	31	$2261.94	$673.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$77.00	$49.22
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$127.00	$82.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	13	$203.00	$110.49
49324 Insertion of abdominal cavity catheter using an endoscope	12	12	$1118.00	$421.23

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	127	97	$143.00	$115.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	55	$203.00	$111.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$167.12	$116.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$236.00	$176.69
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$99.00	$79.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$257.00	$146.59
49505 Repair of groin hernia (5 years or older)	29	29	$2055.24	$638.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	17	$77.00	$48.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$316.00	$216.13
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$127.00	$82.23
19301 Partial removal of breast	16	16	$1293.00	$736.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$137.00	$77.72
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$1118.00	$436.39
38792 Injection of radioactive material for x-ray identification of lymph node	11	11	$523.00	$18.38

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	124	103	$143.00	$111.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	59	$203.00	$108.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$238.14	$173.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$167.47	$113.16
99213 Established patient office or other outpatient visit, typically 15 minutes	77	71	$100.69	$77.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$259.51	$144.70
49505 Repair of groin hernia (5 years or older)	37	37	$2226.78	$655.02
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$127.00	$79.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$77.00	$46.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$316.00	$214.58
49324 Insertion of abdominal cavity catheter using an endoscope	14	14	$1118.00	$416.40
47562 Removal of gallbladder using an endoscope	13	13	$3153.50	$737.19
19301 Partial removal of breast	12	11	$1400.75	$750.98

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	108	92	$143.00	$113.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	48	$203.00	$109.65
99213 Established patient office or other outpatient visit, typically 15 minutes	77	71	$99.00	$76.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$166.00	$114.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$236.00	$171.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$259.29	$144.19
49505 Repair of groin hernia (5 years or older)	35	35	$2003.43	$598.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$77.00	$46.32
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$127.00	$79.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$316.00	$213.47
49324 Insertion of abdominal cavity catheter using an endoscope	13	13	$1118.00	$412.28

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD029832E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0011214120003 (PA)

Practice Associates & Co-Workers

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

9 Associated Practitioners

Daniel Jo

Surgery

NPI 1033616842

Dr. David Singer , MD

Plastic Surgery

NPI 1164531745

Doctor of Medicine (M.D.)

Dr. Robert Fried , MD

Surgery

NPI 1316908049

Doctor of Medicine (M.D.)

Taylor Breidenbach

Physician Assistant

NPI 1497115679

Erin Mcnamara , PA

Physician Assistant

NPI 1538898531

Physician Assistant

Elaine Croft

Nurse Practitioner - Acute Care

NPI 1598587016

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2010

Registered at 255 W LANCASTER AVE, MOB III, SUITE 332, PAOLI, PA 193011763 (Tel: 6106473077)

📍

Updated Business Mailing Address July 06, 2010

Registered at PO BOX 252, BRYN MAWR, PA 19010 (Tel: 6104366529)

👤

Provider Name / Credentials Updated July 06, 2010

Recorded as TIMOTHY FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Surgery (License #MD029832E in PA)

🟢

Initial NPI Registration & Enumeration March 31, 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: 1134180862

Entity Type:

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

Enumeration Date: March 31, 2006

Last Update: July 06, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 252

Bryn Mawr, PA 19010

Phone: 6104366529

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.