DR. RICHARD JAY FOX (MD) – Surgery Physician, NPI 1295818474

DR. RICHARD JAY FOX (MD) is a healthcare provider. based in Boulder, Colorado. specializing in GENERAL SURGERY, THORACIC SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 40751 (CO). The NPI Number for DR. RICHARD JAY FOX (MD) is 1295818474

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD JAY FOX (MD)
NPI
1295818474
Phone
(303) 449-3642
Address
4743 ARAPAHOE AVE
Enumeration Date
23 October 2006
Last Update Date
19 February 2020

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
3034493642
Graduation Year
1997 (29 years ago)
PAC ID
7911092028
Group Practice PAC ID
0345335394
Professional Enrollment ID
I20071004000560
Address ID
CO803031123BO4743XAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

756 GENERAL SURGERY in CO

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Provider Addresses for DR. RICHARD JAY FOX (MD)

  • Anderson Medical Center, 4743, Arapahoe Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States

    #102

    BOULDER, CO 803031113

    Phone: (303) 449-3642

    Fax: (303) 440-7298

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $3,339.

Total Amount is formed as General ($3,339) + Research ($0) + Ownership ($0) = $3,339.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,098).

Total Amount

$3,339

General + Research + Ownership

Payments

10

Total payment records

General Amount

$3,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071004000560IGeneral SurgeryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes190139$0
99203New patient office or other outpatient visit, 30-44 minutes9696$0
93970Ultrasound study of arm or leg veins with compression and maneuvers7060$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
99214Established patient office or other outpatient visit, 30-39 minutes5346$0
View full utilization report →

Insurance plans in this area (ZIP 80303)

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Provider's Procedures

DR. RICHARD JAY FOX (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYCO93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers7441

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345335394View full group profile
NameSpecialtyState
Physician AssistantCO
Vascular Surgery, General SurgeryCO

Reviews

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Frequently asked questions

What number should I use to identify DR. RICHARD JAY FOX (MD) for billing?
Administrative and clinical systems typically use NPI 1295818474 for DR. RICHARD JAY FOX (MD).
Quick check: is DR. RICHARD JAY FOX (MD) active?
Public NPPES data shows DR. RICHARD JAY FOX (MD) with an active NPI status right now.
What does the directory say DR. RICHARD JAY FOX (MD) does?
Insurance directories may phrase it differently, but here DR. RICHARD JAY FOX (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. RICHARD JAY FOX (MD)?
The directory associates DR. RICHARD JAY FOX (MD) with Boulder, Colorado. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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