Crystal Fox, MD
NPI 1528302064 · Hospitalist Physician · Portland, ME
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Fox, MD is a Hospitalist Physician provider in Portland, ME (NPI 1528302064).
Provider details
- NPI number
- 1528302064
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125062499 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
256 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 112 | $119 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 99 | $80 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 34 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $175 |
Typical Medicare-allowed amounts for these services range $80–$175 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
Practice location
Mailing address
Additional practice locations (1)
- 530 Ne Glen Oak Ave # 5607Peoria, IL 61637-0001Phone: (309) 655-3863
Registry dates
- Enumerated
- 2012-11-21
- Last updated
- 2019-05-02
Frequently asked questions
- What is Crystal Fox's NPI number?
- Crystal Fox's National Provider Identifier (NPI) is 1528302064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Fox's specialty?
- Crystal Fox is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Crystal Fox located?
- Crystal Fox's practice location on file with NPPES is 22 Bramhall St, Portland, ME 04102-3175.
- What is Crystal Fox's phone number?
- The practice phone number listed in the NPPES registry for Crystal Fox is (207) 662-0111.
- Does Crystal Fox accept Medicare?
- Crystal Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crystal Fox's NPI active?
- Yes — Crystal Fox's NPI (1528302064) is active in the NPPES registry as of the last update on 2019-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.