Active NPI 1346419686 Individual Practitioner Male Practitioner

Dr. Robert Jason Fox , DOM, LAC, APNP

Nurse Practitioner - Pediatrics • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Fox, DOM, LAC, APNP is a certified Nurse Practitioner - Pediatrics practicing in Milwaukee, WI. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Fox delivers high-quality medical care to the local community at 3338 N DR MARTIN LUTHER KING JR DR FL 2.

Dr. Fox is affiliated with Shalem Healing Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose, 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

3338 N Dr Martin Luther King Jr Dr Fl 2

Milwaukee, WI 532121484

Telephone 4146405433

Fax 4145020192

Associated Practice Facility / Clinic

🏢 Shalem Healing, Inc. Facility NPI 1073801395

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Milwaukee, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +1.8 yrs vs City Avg

City Avg: 13.2 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

189 Specialists

Practicing in Milwaukee, WI (408 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (15 Years) 15 Yrs

Milwaukee Specialty Average (13.2 Years) 13.2 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	75	23	$131.00	$102.32
99213 Established patient office or other outpatient visit, typically 15 minutes	62	20	$89.00	$72.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	18	$181.00	$143.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	36	$89.00	$72.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	23	$131.00	$102.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	16	$59.00	$45.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	14	$181.00	$143.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	34	$89.00	$73.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	32	$131.00	$103.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	22	$59.00	$45.45

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	96	30	$130.56	$105.50
99213 Established patient office or other outpatient visit, typically 15 minutes	84	29	$89.00	$74.13
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	60	39	$40.00	$25.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	13	$181.00	$138.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$36.00	$18.56

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	66	20	$131.00	$89.16
99213 Established patient office or other outpatient visit, typically 15 minutes	61	24	$89.00	$60.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	18	$32.33	$19.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	38	$89.00	$60.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	31	$130.37	$88.56

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	168	47	$130.75	$85.47
99213 Established patient office or other outpatient visit, typically 15 minutes	141	37	$89.00	$57.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$250.00	$129.60

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	126	29	$131.00	$85.82
99213 Established patient office or other outpatient visit, typically 15 minutes	82	25	$89.51	$58.21

Medical Specialties & State Licenses

CMS Verified: 2023-05-23

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WI 4476-33

Definition to come...

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License WI 383-055

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 4476-33

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License WI 4476-33

Definition to come...

Hospital & Practice Group Affiliations

Shalem Healing Inc

3338 N Dr Martin Luther King Jr Dr, Milwaukee, WI 532121484

Phone: 41464054335

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jessica Urban , APNP

Nurse Practitioner - Family

NPI 1144624172

Advanced Practice Nurse Prescriber

Antonette Liddy , MS LPC NCC

Counselor

NPI 1578969416

MSLPCNCC

Jill Allen , MS, OTR, L

Occupational Therapist

NPI 1679340186

Master of Science, Occupational Therapist Registered, L

Eva Devorkin

Nurse Practitioner - Family

NPI 1679394910

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address May 23, 2023

Registered at 3338 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 532121484 (Tel: 4146405433)

📍

Updated Practice Location April 30, 2021

Registered at 3338 N DR MARTIN LUTHER KING JR DR FL 2, MILWAUKEE, WI 532121484 (Tel: 4146405433)

✅

NPI Profile Active August 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2011

Registered at 800 E LOCUST ST, MILWAUKEE, WI 532122634 (Tel: 4146405433)

📍

Updated Business Mailing Address August 11, 2011

Registered at 800 E. LOCUST ST., MILWAUKEE, WI 53212 (Tel: 4146405433)

👤

Provider Name / Credentials Updated August 11, 2011

Recorded as ROBERT FOX, DOM, L.AC, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2011

Acupuncturist (License #383-055 in WI)

🟢

Initial NPI Registration & Enumeration February 20, 2008

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: 1346419686

Entity Type:

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

Enumeration Date: February 20, 2008

Last Update: May 23, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3338 N Dr Martin Luther King Jr Dr

Milwaukee, WI 532121484

Phone: 4146405433

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.