Nicholas Fox, PA-C
NPI 1578165379 · Physician Assistant · Grayling, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Fox, PA-C is a Physician Assistant provider in Grayling, MI (NPI 1578165379).
Provider details
- NPI number
- 1578165379
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5601010230 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
189 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 99 | $76 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 40 | $63 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $106 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 18 | $48 |
Typical Medicare-allowed amounts for these services range $48–$106 (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.
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 |
|---|---|---|
| Oxycodone Hcl | 49 | 44 |
| Meloxicam | 38 | 19 |
| Methylprednisolone | 19 | 18 |
| Hydroxyzine Hcl | 17 | 14 |
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.
Practice location
Mailing address
Additional practice locations (3)
- 8872 Professional Dr Ste BCadillac, MI 49601-8482Phone: (231) 779-0320
- 2585 W Houghton Lake DrPrudenville, MI 48651-9624Phone: (989) 366-2900
- 1105 Sixth StTraverse City, MI 49684-2345Phone: (231) 779-0320Fax: (231) 779-1367
Registry dates
- Enumerated
- 2020-11-16
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- What is Nicholas Fox's NPI number?
- Nicholas Fox's National Provider Identifier (NPI) is 1578165379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Fox's specialty?
- Nicholas Fox is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicholas Fox located?
- Nicholas Fox's practice location on file with NPPES is 1010 W North Down River Rd, Grayling, MI 49738-2060.
- What is Nicholas Fox's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Fox is (989) 348-0800.
- Does Nicholas Fox accept Medicare?
- Nicholas Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Fox's NPI active?
- Yes — Nicholas Fox's NPI (1578165379) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.