Active NPI 1043388796 Individual Practitioner Female Practitioner

Nicole M Fox , PA-C

Physician Assistant • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Nicole Fox, PA-C is a registered healthcare professional specializing in Physician Assistant in Milwaukee, WI. Practice services are available at 8700 W WATERTOWN PLANK RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established 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

8700 W Watertown Plank Rd
Dept Of Orthopaedic Surgery

Milwaukee, WI 532263595

Telephone 4148057100

Fax 4148057171

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milwaukee, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.1 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

824 Specialists

Practicing in Milwaukee, WI (3517 Statewide)

Telehealth Adoption Rate

11.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	18	$2.03	$0.97
20610 Aspiration and/or injection of fluid from large joint	29	26	$273.10	$63.79
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$170.00	$84.29
73030 X-ray of shoulder, minimum of 2 views	15	14	$130.00	$9.89
73564 X-ray of knee, 4 or more views	13	13	$170.00	$10.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$250.00	$118.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	764	56	$1.95	$1.04
20610 Aspiration and/or injection of fluid from large joint	109	69	$308.26	$68.57
99213 Established patient office or other outpatient visit, typically 15 minutes	71	61	$170.00	$83.80
73030 X-ray of shoulder, minimum of 2 views	57	52	$130.00	$10.57
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	39	21	$1500.00	$509.99
73564 X-ray of knee, 4 or more views	37	31	$170.00	$15.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$255.00	$105.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$250.00	$119.68
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$2851.67	$154.94
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1475.00	$25.23
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$2710.00	$215.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	713	64	$5.46	$1.13
20610 Aspiration and/or injection of fluid from large joint	102	77	$301.18	$68.34
99213 Established patient office or other outpatient visit, typically 15 minutes	86	79	$125.00	$86.53
73030 X-ray of shoulder, minimum of 2 views	67	59	$130.00	$10.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$185.00	$106.62
73564 X-ray of knee, 4 or more views	46	40	$156.30	$11.36
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	12	$1270.48	$817.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$188.10	$116.80
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$3056.15	$166.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$280.00	$157.97
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1475.00	$25.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	129	48	$39.98	$5.57
20610 Aspiration and/or injection of fluid from large joint	65	49	$306.46	$69.45
99213 Established patient office or other outpatient visit, typically 15 minutes	65	61	$125.00	$86.71
73564 X-ray of knee, 4 or more views	45	40	$140.00	$19.98
73030 X-ray of shoulder, minimum of 2 views	34	29	$130.00	$13.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$185.00	$107.75
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	26	14	$1268.27	$1214.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$185.00	$124.17
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$1475.00	$26.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$125.00	$72.53
20610 Aspiration and/or injection of fluid from large joint	36	28	$293.33	$65.56
J1030 Injection, methylprednisolone acetate, 40 mg	32	18	$39.38	$6.03
73030 X-ray of shoulder, minimum of 2 views	26	23	$130.00	$11.83
J1040 Injection, methylprednisolone acetate, 80 mg	17	13	$80.00	$11.73
73564 X-ray of knee, 4 or more views	15	14	$140.00	$10.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.00	$104.06
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1475.00	$26.80
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2910.00	$163.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	71	$125.00	$70.06
J1030 Injection, methylprednisolone acetate, 40 mg	49	29	$40.00	$5.91
73030 X-ray of shoulder, minimum of 2 views	40	36	$130.00	$8.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$185.00	$103.04
20610 Aspiration and/or injection of fluid from large joint	39	37	$270.77	$59.80
73564 X-ray of knee, 4 or more views	31	27	$140.00	$10.55
J1040 Injection, methylprednisolone acetate, 80 mg	30	25	$80.00	$12.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$185.00	$98.30
73110 X-ray of wrist, minimum of 3 views	17	14	$120.00	$8.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$280.00	$155.27
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1475.00	$26.56
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1401.92	$52.90
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$2710.00	$222.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$125.00	$72.24
J1040 Injection, methylprednisolone acetate, 80 mg	38	31	$80.00	$13.09
20610 Aspiration and/or injection of fluid from large joint	37	33	$285.41	$63.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$185.00	$106.58
73030 X-ray of shoulder, minimum of 2 views	36	33	$130.00	$9.22
73564 X-ray of knee, 4 or more views	25	22	$140.00	$10.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$185.00	$106.34
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1475.00	$27.63

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2347

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00166100

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1043388796 (WI)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Karie Zach , MD

Orthopaedic Surgery - Sports Medicine

NPI 1053489815

Doctor of Medicine (M.D.)

Stuart Burkart , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1134597610

Certified Athletic Trainer, Licensed Athletic Trainer

Lauren Guhl , PA-C

Physician Assistant

NPI 1184969586

Physician Assistant (Certified)

Dr. Craig Young , MD

Family Medicine - Sports Medicine

NPI 1215989579

Doctor of Medicine (M.D.)

Dr. Carole Vetter , MD

Orthopaedic Surgery - Sports Medicine

NPI 1255383840

Doctor of Medicine (M.D.)

Dr. Demetrios Douros , MD

Orthopaedic Surgery - Sports Medicine

NPI 1447451265

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2017

Registered at 8700 W WATERTOWN PLANK RD, DEPT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 532263595 (Tel: 4148057100)

📍

Updated Business Mailing Address March 13, 2017

Registered at 8700 W WATERTOWN PLANK RD, DEPT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 532263595 (Tel: 4148057100)

👤

Provider Name / Credentials Updated March 13, 2017

Recorded as NICOLE FOX, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Physician Assistant (License #2347 in WI)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 90 MILLBURN AVE, SUITE 204, MILLBURN, NJ 07041 (Tel: 9734846239)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 247, SUMMIT, NJ 07901 (Tel: 9734846239)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NICOLE JAHN, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #25MP00166100 in NJ)

🟢

Initial NPI Registration & Enumeration December 01, 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: 1043388796

Entity Type:

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

Enumeration Date: December 01, 2006

Last Update: March 13, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8700 W Watertown Plank Rd, Dept Of Orthopaedic Surgery

Milwaukee, WI 532263595

Phone: 4148057100

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.