NICOLE M FOX (PAC) – Physician Assistant, NPI 1043388796
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NICOLE M FOX (PAC)
West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53222:53228, United States
DEPT OF ORTHOPAEDIC SURGERY
MILWAUKEE, WI 532263595
Phone: (414) 805-7100
Fax: (414) 805-7171
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-04-05
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 |
|---|---|---|---|---|
| I20100215000319 | I | Physician Assistant | NJ | TBD |
| I20170405000433 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 764 | 56 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 109 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 61 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 57 | 52 | $0 |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 39 | 21 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NJ | |
| Physician Assistant | NJ | |
| Hand Surgery, Orthopedic Surgery | NJ | |
| Physician Assistant | NJ | |
| Orthopedic Surgery | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| Hand Surgery, Orthopedic Surgery | NY | |
| Physician Assistant | NJ | |
| Orthopedic Surgery | NJ |
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