JAMES ALBERT FOX (M.D.) – Ophthalmology Physician, NPI 1295997351
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
396 OPHTHALMOLOGY in CO
Provider Addresses for JAMES ALBERT FOX (M.D.)
1000 WELLINGTON AVE STE A
GRAND JUNCTION, CO 815018180
Phone: (720) 524-1001
Fax: (970) 243-9023
Type: Location
Denver Centerpoint I, 3900, East Mexico Avenue, Denver, Denver County, Colorado, 80210, United States
SUITE 102
DENVER, CO 802103940
Phone: (720) 524-1001
Fax: (303) 756-0898
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $8,850.
Total Amount is formed as General ($8,850) + Research ($0) + Ownership ($0) = $8,850.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Glaukos Corporation ($7,704).
Total Amount
$8,850
General + Research + Ownership
Payments
36
Total payment records
General Amount
$8,850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $7,704 |
| Alcon Vision LLC | $320 |
| NEW WORLD MEDICAL,INC. | $260 |
| RxSight Inc | $183 |
| Rayner Intraocular Lenses Limited | $153 |
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: 2015-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151202001204 | I | Ophthalmology | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 799 | 532 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 633 | 379 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 416 | 416 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 394 | 254 | $0 |
| 92083 | Exam of visual field with extended testing | 278 | 216 | $0 |
Insurance plans in this area (ZIP 81501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | CO | |
| O P T O M E T R Y | CO | |
| O P H T H A L M O L O G Y | CO | |
| O P H T H A L M O L O G Y | CO | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | CO | |
| O P H T H A L M O L O G Y | CO |
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