Edward Fox, MD
NPI 1023051331 · Orthopaedic Surgery Physician · Hershey, PA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Fox, MD is a Orthopaedic Surgery Physician provider in Hershey, PA (NPI 1023051331).
Provider details
- NPI number
- 1023051331
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD423466 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
429 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 315 | $62 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 51 | $81 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 24 | $127 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 22 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 17 | $93 |
Typical Medicare-allowed amounts for these services range $62–$127 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Abaloparatidebrand: Tymlos | 147 | 22 |
| Pen Needle, Diabeticbrand: Ultra-Fine Mini Pen Needle | 77 | 11 |
| Pen Needle, Diabeticbrand: Ultra-Fine Nano Pen Needle | 66 | 11 |
| Teriparatidebrand: Forteo | 64 | — |
| Oxycodone Hcl | 57 | — |
| Teriparatide | 56 | 14 |
| Diclofenac Sodium | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,216 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2009-10-13
Frequently asked questions
- What is Edward Fox's NPI number?
- Edward Fox's National Provider Identifier (NPI) is 1023051331, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Fox's specialty?
- Edward Fox is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Fox located?
- Edward Fox's practice location on file with NPPES is 30 Hope Dr, Hershey, PA 17033-2036.
- What is Edward Fox's phone number?
- The practice phone number listed in the NPPES registry for Edward Fox is (800) 233-4082.
- Does Edward Fox accept Medicare?
- Edward Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Fox's NPI active?
- Yes — Edward Fox's NPI (1023051331) is active in the NPPES registry as of the last update on 2009-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.