JOHN EARL FOX (M.D.) – Family Medicine Physician, NPI 1619970233

JOHN EARL FOX (M.D.) is a healthcare provider. based in Hugo, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 27084 (CO). The NPI Number for JOHN EARL FOX (M.D.) is 1619970233

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JOHN EARL FOX (M.D.)
NPI
1619970233
Phone
(719) 743-2155
Address
111 6TH ST.
Enumeration Date
27 May 2005
Last Update Date
28 September 2012

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7197432063
Graduation Year
1984 (42 years ago)
PAC ID
4082884366
Group Practice PAC ID
8729987219
Professional Enrollment ID
I20170410000443
Address ID
CO801039727BY404XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for JOHN EARL FOX (M.D.)

  • Lincoln Community Hospital, 111, 6th Street, Hugo, Lincoln County, Colorado, 80821, United States

    P.O. BOX 248

    HUGO, CO 808210248

    Phone: (719) 743-2155

    Fax: (719) 743-2355

    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 8 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: PFIZER INC. ($82).

Total Amount

$175

General + Research + Ownership

Payments

8

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-04-10

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
I20170410000443IFamily PracticeCOTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6920$0
99214Established patient office or other outpatient visit, 30-39 minutes2417$0
View full utilization report →

Insurance plans in this area (ZIP 80821)

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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: 8729987219View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Colorectal Surgery (Proctology), General SurgeryCO
-AZ
Family PracticeCO
Nurse PractitionerCO
Hospitalist, Family PracticeCO
-CO
Mental Health CounselorCO
Family PracticeCO

Reviews

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Frequently asked questions

Does JOHN EARL FOX (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN EARL FOX (M.D.) uses 1619970233.
Does CMS list JOHN EARL FOX (M.D.) as active?
Yes — JOHN EARL FOX (M.D.) is active in the NPI listing used on this page.
What is JOHN EARL FOX (M.D.)'s specialty?
The listing groups JOHN EARL FOX (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JOHN EARL FOX (M.D.) serve?
JOHN EARL FOX (M.D.)'s listing highlights Hugo, Colorado; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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