SAMUEL DEAN FOX (M.D.) – General Practice Physician, NPI 1881891240
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,734 OBSTETRICS/GYNECOLOGY in MI
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Provider Addresses for SAMUEL DEAN FOX (M.D.)
102, Barclay Avenue Northeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495032525
Phone: (402) 210-4764
Type: Mailing
PO BOX 9727
PEORIA, IL 616129727
Phone: (309) 886-9172
Type: Mailing
927 N Citrus Ave
Crystal River, FL 344283422
Phone: (352) 565-7342
Type: Location
3525 N UNIVERSITY ST
PEORIA, IL 616041324
Phone: (309) 886-9172
Fax: (309) 509-4045
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $806.
Total Amount is formed as General ($806) + Research ($0) + Ownership ($0) = $806.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Abbott Laboratories ($157).
Total Amount
$806
General + Research + Ownership
Payments
32
Total payment records
General Amount
$806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $157 |
| Novo Nordisk Inc | $132 |
| Lundbeck LLC | $86 |
| ABBVIE INC. | $38 |
| Amgen Inc. | $37 |
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: 2025-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110914000157 | I | Obstetrics/Gynecology | IL | TBD |
| I20250623002758 | I | Obstetrics/Gynecology | FL | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 49503)
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