Active NPI 1003853268 Individual Practitioner Male Practitioner

Dr. Robert E Fox , MD

Internal Medicine • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Fox, MD is a certified Internal Medicine practicing in Westerly, RI. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Fox delivers high-quality medical care to the local community at 268 POST RD.

Dr. Fox maintains professional affiliations with Wood River Health Services Inc, Ptsma Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

268 Post Rd
Suite 203

Westerly, RI 028916600

Telephone 4016042530

Fax 4016042560

Associated Practice Facility / Clinic

🏢 Silver Spring Health Care Management, Inc. Facility NPI 1700249851

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -0.1 yrs vs City Avg

City Avg: 34.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Westerly, RI (1079 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (34 Years) 34 Yrs

Westerly Specialty Average (34.1 Years) 34.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	142	$275.48	$128.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$279.33	$129.82
99213 Established patient office or other outpatient visit, typically 15 minutes	145	107	$194.49	$91.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	78	62	$34.79	$16.41

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	362	181	$261.80	$123.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$266.36	$124.28
99213 Established patient office or other outpatient visit, typically 15 minutes	112	89	$183.77	$80.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$339.60	$159.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	162	$191.00	$85.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	182	182	$261.00	$128.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	106	$271.00	$125.48
99497 Advance care planning, first 30 minutes	26	26	$177.00	$83.52
99495 Transitional care management services for problem of at least moderate complexity	22	19	$430.00	$204.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$235.00	$110.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$331.00	$164.36

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	232	132	$260.03	$127.94
99213 Established patient office or other outpatient visit, typically 15 minutes	180	129	$183.13	$90.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	163	163	$261.00	$130.90
99497 Advance care planning, first 30 minutes	100	100	$174.80	$84.62
G0008 Administration of influenza virus vaccine	19	19	$58.00	$17.73
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$187.76	$91.63
99496 Transitional care management services for problem of high complexity	14	13	$560.57	$278.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$331.00	$168.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$113.09	$54.50

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	257	131	$229.00	$108.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	164	164	$245.00	$115.15
99213 Established patient office or other outpatient visit, typically 15 minutes	116	89	$158.00	$73.38
99442 Telephone medical discussion with physician, 11-20 minutes	72	64	$116.00	$72.23
G0008 Administration of influenza virus vaccine	31	30	$58.00	$17.62
99443 Telephone medical discussion with physician, 21-30 minutes	26	22	$170.00	$105.72
99497 Advance care planning, first 30 minutes	24	24	$179.00	$84.57
99496 Transitional care management services for problem of high complexity	12	12	$514.00	$243.06

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	472	198	$229.00	$106.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	175	175	$245.00	$114.26
99213 Established patient office or other outpatient visit, typically 15 minutes	163	120	$156.00	$72.83
99497 Advance care planning, first 30 minutes	132	132	$179.00	$83.30
G0008 Administration of influenza virus vaccine	31	30	$56.94	$16.47
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$350.00	$163.09
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$36.00	$16.89

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	517	210	$225.50	$106.60
99213 Established patient office or other outpatient visit, typically 15 minutes	189	130	$152.27	$72.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	143	143	$230.00	$115.54
99497 Advance care planning, first 30 minutes	107	106	$170.00	$83.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	28	12	$19.29	$1.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$48.50	$20.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$305.05	$143.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$344.47	$162.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$333.75	$163.97
90662 Influenza vaccine split virus, preservative free	15	15	$0.01	$0.01
G0008 Administration of influenza virus vaccine	15	15	$25.00	$21.32
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$36.00	$16.82

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	437	189	$224.00	$107.58
99213 Established patient office or other outpatient visit, typically 15 minutes	304	167	$151.00	$73.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$230.00	$114.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	19	$301.00	$144.42
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$36.00	$17.10
90471 Administration of 1 vaccine	15	12	$53.33	$26.03
99496 Transitional care management services for problem of high complexity	12	12	$481.00	$230.57

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD09837

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Adolescent Medicine

NUCC Taxonomy Code: 207RA0000X

State License RI RI9837

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P00015916 (RI)

Hospital & Practice Group Affiliations

Ptsma Inc

37 S Broad St, Pawcatuck, CT 063797909

Phone: 8604951919

Wood River Health Services Inc

823 Main St, Hope Valley, RI 028321920

Phone: 4015392461288

Practice Associates & Co-Workers

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

5 Associated Practitioners

Melanie Bowdy , APRN, FNP-C

Nurse Practitioner - Family

NPI 1023845716

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Alexandra Harnois , NP-C

Nurse Practitioner - Family

NPI 1063871200

Nurse Practitioner (Certified)

Danielle Cartier

Nurse Practitioner - Family

NPI 1396606331

Tiffany Acosta , AGACNP

Nurse Practitioner - Acute Care

NPI 1417838566

Adult-Gerontology Acute Care Nurse Practitioner

Lauren Levanduski , NP

Nurse Practitioner - Family

NPI 1558619536

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2017

Registered at 268 POST RD, SUITE 203, WESTERLY, RI 028916600 (Tel: 4016042530)

📍

Updated Business Mailing Address February 10, 2017

Registered at PO BOX 229, WAKEFIELD, RI 028800229 (Tel: 4017883929)

👤

Provider Name / Credentials Updated February 10, 2017

Recorded as ROBERT FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Internal Medicine (License #MD09837 in RI)

✅

NPI Profile Active January 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2016

Registered at 11 WELLS ST, SUITE #3, WESTERLY, RI 028912959 (Tel: 4013480788)

📍

Updated Business Mailing Address January 21, 2016

Registered at 11 WELLS ST, SUITE #3, WESTERLY, RI 028912959 (Tel: 4013480788)

👤

Provider Name / Credentials Updated January 21, 2016

Recorded as ROBERT FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2016

Internal Medicine (License #MD09837 in RI)

🟢

Initial NPI Registration & Enumeration May 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: 1003853268

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: February 10, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 229

Wakefield, RI 028800229

Phone: 4017883929

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.