Active NPI 1427044924 Individual Practitioner Male Practitioner

Dr. Douglas J Fox , MD

Neurological Surgery • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Fox, MD is a certified Neurological Surgery practicing in Austin, TX. With approximately 27 years of clinical experience since graduating from Washington University School Of Medicine in 1999, Dr. Fox delivers high-quality medical care to the local community at 5625 EIGER RD STE 115.

Dr. Fox maintains professional affiliations with Scott And White Clinic, Dora Roberts Rehabilitation Center, The West Texas Rehabilitation Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, fusion of additional segment of spine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5625 Eiger Rd Ste 115

Austin, TX 787358978

Telephone 5126544550

Associated Practice Facility / Clinic

🏢 The Oncology Institute Tx, A Professional Association Facility NPI 1619630993

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -0.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

43 Specialists

Practicing in Austin, TX (703 Statewide)

Telehealth Adoption Rate

25.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (27 Years) 27 Yrs

Austin Specialty Average (27.3 Years) 27.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$322.00	$163.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	107	$209.00	$127.62
22614 Fusion of additional segment of spine	115	36	$1132.00	$386.75
63048 Partial removal of spine bone with release of spinal cord and/or nerves	52	29	$616.00	$205.76
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	50	32	$1183.00	$250.55
61783 Computer-assisted spinal procedure	45	43	$675.00	$225.70
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	35	35	$3207.00	$854.34
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$142.00	$91.11
22842 Placement of stabilizing device to back, 3-6 spine bone segments	30	28	$2211.00	$742.81
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$5338.00	$1762.02
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	23	14	$552.51	$222.99
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	22	22	$737.76	$252.62
22612 Fusion of spine in lower back	22	20	$4631.00	$1550.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$142.00	$62.81
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	$92.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$322.00	$127.35
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$2208.00	$736.40
63267 Removal of growth of lower spine bone outside spine membrane	12	12	$3995.00	$1110.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	114	36	$1132.00	$369.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	94	$209.00	$126.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$322.00	$166.46
99213 Established patient office or other outpatient visit, typically 15 minutes	91	77	$142.00	$90.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	69	36	$1183.00	$247.91
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	19	$616.00	$197.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$210.00	$112.35
22842 Placement of stabilizing device to back, 3-6 spine bone segments	32	32	$2211.00	$713.91
61783 Computer-assisted spinal procedure	32	32	$675.00	$221.65
22633 Fusion of spine in lower back with partial removal of spine bone and disc	28	27	$5338.00	$1768.94
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	25	$3207.00	$895.04
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	26	25	$737.76	$248.15
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	21	16	$552.51	$219.93
22612 Fusion of spine in lower back	20	20	$4631.00	$1465.89
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	17	12	$1436.00	$465.08
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$2208.00	$728.56
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$142.00	$63.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$322.00	$167.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	131	$209.00	$128.83
22614 Fusion of additional segment of spine	115	35	$1132.00	$370.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	77	43	$1183.00	$244.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	67	40	$616.00	$194.56
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	54	54	$3207.00	$907.70
61783 Computer-assisted spinal procedure	47	45	$675.00	$218.10
22842 Placement of stabilizing device to back, 3-6 spine bone segments	33	33	$2211.00	$724.00
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$142.00	$92.17
22633 Fusion of spine in lower back with partial removal of spine bone and disc	27	27	$5338.00	$1797.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$322.00	$130.14
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	22	22	$737.76	$244.76
22612 Fusion of spine in lower back	20	20	$4631.00	$1493.90
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	18	13	$552.51	$183.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$209.00	$94.70
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$4970.00	$1642.90
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$2208.00	$721.25
22830 Exploration of spinal fusion	12	11	$2361.00	$461.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	132	34	$1132.00	$377.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$322.00	$168.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	105	$209.00	$127.94
99213 Established patient office or other outpatient visit, typically 15 minutes	111	95	$142.00	$90.99
63048 Partial removal of spine bone with release of spinal cord and/or nerves	77	38	$616.00	$201.60
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	52	51	$3207.00	$800.66
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	40	25	$1183.00	$238.93
61783 Computer-assisted spinal procedure	39	37	$675.00	$218.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$210.00	$113.56
22612 Fusion of spine in lower back	36	32	$4631.00	$1469.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$322.00	$132.40
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	24	$2211.00	$711.63
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$142.00	$65.73
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	21	$2208.00	$712.37
22830 Exploration of spinal fusion	19	16	$2361.00	$451.16
22633 Fusion of spine in lower back with partial removal of spine bone and disc	18	18	$5338.00	$1673.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$209.00	$97.17
22848 Insertion of instrumentation to pelvic bones	12	12	$1038.00	$349.77
22843 Placement of stabilizing device to back, 7-12 spine bone segments	11	11	$2353.00	$788.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	188	51	$1132.00	$342.40
99213 Established patient office or other outpatient visit, typically 15 minutes	137	108	$142.00	$76.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$322.00	$167.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	80	$209.00	$112.00
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	81	50	$1183.00	$236.51
63048 Partial removal of spine bone with release of spinal cord and/or nerves	69	42	$616.00	$172.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$210.00	$108.01
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	56	56	$3207.00	$699.06
99213 Established patient office or other outpatient visit, typically 15 minutes	48	39	$142.00	$51.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$322.00	$128.71
22830 Exploration of spinal fusion	43	41	$2361.00	$410.28
22842 Placement of stabilizing device to back, 3-6 spine bone segments	42	41	$2211.00	$616.60
61783 Computer-assisted spinal procedure	38	37	$675.00	$229.01
22612 Fusion of spine in lower back	38	38	$4631.00	$1276.11
22840 Placement of stabilizing device to back of 1 spine bone in neck	27	26	$2208.00	$730.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$210.00	$75.41
22845 Placement of stabilizing device to front, 2-3 spine bone segments	21	21	$2129.00	$710.58
22633 Fusion of spine in lower back with partial removal of spine bone and disc	20	20	$5338.00	$1724.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$209.00	$78.83
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$4970.00	$1585.93
22848 Insertion of instrumentation to pelvic bones	15	15	$1038.00	$222.97
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$4485.00	$509.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	136	$142.00	$75.03
22614 Fusion of additional segment of spine	125	42	$1132.00	$283.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	86	$209.00	$106.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$322.00	$162.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$210.00	$107.95
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	88	52	$1183.00	$234.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	66	66	$3207.00	$760.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	65	41	$616.00	$192.32
22842 Placement of stabilizing device to back, 3-6 spine bone segments	41	41	$2211.00	$583.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$210.00	$75.05
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$142.00	$50.43
22612 Fusion of spine in lower back	36	36	$4631.00	$1284.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$209.00	$77.79
61783 Computer-assisted spinal procedure	30	30	$675.00	$234.21
22633 Fusion of spine in lower back with partial removal of spine bone and disc	29	29	$5338.00	$1550.88
22840 Placement of stabilizing device to back of 1 spine bone in neck	29	29	$2208.00	$703.00
22830 Exploration of spinal fusion	29	29	$2361.00	$398.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$322.00	$127.24
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	14	$1141.00	$402.37
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$4970.00	$1726.62
22848 Insertion of instrumentation to pelvic bones	17	17	$1038.00	$275.20
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$2129.00	$737.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	179	$142.00	$72.34
22614 Fusion of additional segment of spine	186	72	$1132.00	$302.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$210.00	$105.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	111	$209.00	$107.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	115	65	$1183.00	$232.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$322.00	$163.44
63048 Partial removal of spine bone with release of spinal cord and/or nerves	97	59	$616.00	$181.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	87	86	$3207.00	$701.62
22612 Fusion of spine in lower back	63	61	$4631.00	$1212.02
22842 Placement of stabilizing device to back, 3-6 spine bone segments	62	62	$2211.00	$598.59
61783 Computer-assisted spinal procedure	49	49	$675.00	$227.94
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$142.00	$49.96
22633 Fusion of spine in lower back with partial removal of spine bone and disc	30	30	$5338.00	$1519.58
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	30	21	$969.00	$253.91
22845 Placement of stabilizing device to front, 2-3 spine bone segments	28	28	$2129.00	$727.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$210.00	$73.22
22830 Exploration of spinal fusion	27	27	$2361.00	$321.18
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	25	$2208.00	$597.30
22848 Insertion of instrumentation to pelvic bones	21	20	$1038.00	$273.85
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	21	14	$1141.00	$364.65
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	20	20	$4485.00	$686.03
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$4970.00	$1567.69
22846 Placement of stabilizing device to front, 4-7 spine bone segments	15	15	$2208.00	$712.69
63685 Insertion of spinal neurostimulator pulse generator or receiver	15	15	$1069.00	$194.26
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	13	13	$2407.00	$827.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$322.00	$125.78

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	208	170	$216.54	$103.52
99213 Established patient office or other outpatient visit, typically 15 minutes	199	153	$145.54	$70.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	193	193	$333.32	$160.54
22614 Fusion of additional segment of spine	191	63	$1037.26	$280.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$211.22	$105.87
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	92	49	$1075.79	$193.21
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	84	82	$3003.00	$696.94
63048 Partial removal of spine bone with release of spinal cord and/or nerves	75	52	$602.97	$182.44
22842 Placement of stabilizing device to back, 3-6 spine bone segments	63	61	$2138.56	$568.11
22612 Fusion of spine in lower back	53	53	$4518.60	$1233.94
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	32	20	$1032.91	$261.46
61783 Computer-assisted spinal procedure	32	32	$686.25	$231.21
22840 Placement of stabilizing device to back of 1 spine bone in neck	24	24	$2154.96	$615.47
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	23	23	$4643.30	$1268.13
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$5138.77	$1425.01
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$2006.57	$640.83
22846 Placement of stabilizing device to front, 4-7 spine bone segments	12	12	$1935.67	$438.60

Medical Specialties & State Licenses

CMS Verified: 2021-12-23

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX M7192

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License AZ 33547

Hospital & Practice Group Affiliations

Scott And White Clinic

1605 S 31st St, Temple, TX 765080001

Phone: 2542150100

Scott And White Clinic

5000 W Slaughter Ln 100 Bldg, Austin, TX 787494015

Phone: 5122918002

Scott And White Clinic

2401 S 31st St Bldg, Temple, TX 765080001

Phone: 2547242663

Scott And White Clinic

2401 S 31st St, Temple, TX 765080001

Phone: 2547242459

Scott And White Clinic

1300 E Polk St, Burnet, TX 786112136

Phone: 5127156400

Scott And White Clinic

200 Medical Pkwy, Lakeway, TX 787381793

Scott And White Clinic

800 W Hwy 71, Marble Falls, TX 786548602

Phone: 8302017100

Scott And White Clinic

3108 Ranch Rd 620, Lakeway, TX 787385635

Phone: 5126544200

Scott And White Clinic

810 W Hwy 71, Marble Falls, TX 786548602

Phone: 8302017100

Dora Roberts Rehabilitation Center

306 W 3rd St, Big Spring, TX 797202429

Phone: 4322673806

Scott And White Clinic

1701 E Pflugerville Pkwy, Pflugerville, TX 786608990

Phone: 5122596000

The West Texas Rehabilitation Center

4601 Hartford St, Abilene, TX 796054603

Phone: 3257933411

Scott And White Clinic

810 W U Ave, Temple, TX 765080001

Phone: 2547242585

Scott And White Clinic

100 Medical Pkwy, Lakeway, TX 787385621

Phone: 5125715000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Michael Gorman-Smith , PA-C

Physician Assistant

NPI 1154953834

Physician Assistant (Certified)

Olivia Dexter , PA-C

Physician Assistant

NPI 1447935671

Physician Assistant (Certified)

Austin Etier , PA-C

Physician Assistant

NPI 1619495983

Physician Assistant (Certified)

Dr. James Waldron , MD

Neurological Surgery

NPI 1902926850

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 12, 2019

Registered at 5625 EIGER RD STE 115, AUSTIN, TX 787358978 (Tel: 5126544550)

📍

Updated Business Mailing Address September 12, 2019

Registered at PO BOX 844658, DALLAS, TX 752844658

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Neurological Surgery (License #33547 in AZ)

✅

NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2012

Registered at 1015 E. 32ND ST, STE 411, AUSTIN, TX 78705 (Tel: 5124741114)

📍

Updated Business Mailing Address February 17, 2012

Registered at 1015 E. 32ND ST, STE 411, AUSTIN, TX 78705 (Tel: 5124741114)

👤

Provider Name / Credentials Updated February 17, 2012

Recorded as DOUGLAS FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Neurological Surgery (License #M7192 in TX)

🟢

Initial NPI Registration & Enumeration September 21, 2005

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: 1427044924

Entity Type:

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

Enumeration Date: September 21, 2005

Last Update: December 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 844658

Dallas, TX 752844658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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