Matthew Fox, M.D.
NPI 1306879218 · Specialist · Centerville, OH
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Fox, M.D. is a Specialist provider in Centerville, OH (NPI 1306879218).
Provider details
- NPI number
- 1306879218
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35-06-8257-F (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
187 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 53 | $67 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $86 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 23 | $156 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 23 | $53 |
| Removal of Cancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-2.0 Cm11642 | 17 | $97 |
| Removal of Cancer Skin Growth of Body, Arms, Or Legs, 1.1-2.0 Cm |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 37 | 32 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 30 | 26 |
| Ondansetron Hcl | 17 | 15 |
| Methocarbamol | 16 | 16 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$332 across 11 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
- 2006-07-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Matthew Fox's NPI number?
- Matthew Fox's National Provider Identifier (NPI) is 1306879218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Fox's specialty?
- Matthew Fox is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Matthew Fox located?
- Matthew Fox's practice location on file with NPPES is 9985 Dayton Lebanon Pike, Centerville, OH 45458.
- What is Matthew Fox's phone number?
- The practice phone number listed in the NPPES registry for Matthew Fox is (937) 886-2980.
- Does Matthew Fox accept Medicare?
- Matthew Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Fox's NPI active?
- Yes — Matthew Fox's NPI (1306879218) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.