DR. JUSTIN P FOX (MD, MHS) – Plastic Surgery Physician, NPI 1194925743

DR. JUSTIN P FOX (MD, MHS) is a healthcare provider. based in Miamisburg, Ohio. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD, MHS. They hold a License No. 0101244227 (VA). The NPI Number for DR. JUSTIN P FOX (MD, MHS) is 1194925743

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN P FOX (MD, MHS)
NPI
1194925743
Phone
(937) 762-1300
Address
1 PRESTIGE PL STE 550
Enumeration Date
23 July 2007
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
9372987751
Graduation Year
2007 (19 years ago)
PAC ID
8820226582
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20191205000984
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
jfox172934@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH

Provider Addresses for DR. JUSTIN P FOX (MD, MHS)

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 45342

    Phone: (937) 762-1300

    Fax: (937) 522-8493

    Type: Location

  • 4301 JONES BRIDGE RD DEPT OF

    BETHESDA, MD 208144799

    Phone: (301) 295-4664

    Type: Location

  • 3700 Southern Blvd Ste 201

    Kettering, OH 454291265

    Phone: (855) 500-2873

    Fax: (937) 281-3992

    Type: Location

  • 3700 SOUTHERN BLVD STE 201

    KETTERING, OH 454291265

    Phone: (855) 500-2873

    Fax: (937) 281-3992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $389.

Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Mentor Worldwide LLC ($162).

Total Amount

$389

General + Research + Ownership

Payments

5

Total payment records

General Amount

$389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

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: 2019-12-05

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
I20191205000984IPlastic And Reconstructive SurgeryOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What is the standard ID for DR. JUSTIN P FOX (MD, MHS) in the U.S.?
In the U.S., DR. JUSTIN P FOX (MD, MHS) is identified by NPI 1194925743.
Is DR. JUSTIN P FOX (MD, MHS)'s NPI status active today?
Active status means DR. JUSTIN P FOX (MD, MHS)'s NPI record is not deactivated in the public file.
What services align with DR. JUSTIN P FOX (MD, MHS)'s listing?
DR. JUSTIN P FOX (MD, MHS)'s public classification highlights Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JUSTIN P FOX (MD, MHS)?
DR. JUSTIN P FOX (MD, MHS) is associated with Miamisburg, Ohio in the same public data insurers reference.
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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