KYLE D. FOX (PA-C) – Physician Assistant, NPI 1205877339
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for KYLE D. FOX (PA-C)
960 N 12th St
Suite 1800
Milwaukee, WI 532331306
Phone: (414) 278-9000
Fax: (414) 278-9005
Type: Location
N91W15750 Falls Pkwy
Menomonee Falls, WI 530512301
Phone: (262) 532-1100
Fax: (262) 532-1409
Type: Location
4455 S 108th St Ste 180
Greenfield, WI 532282504
Phone: (414) 955-7199
Fax: (414) 427-5311
Type: Location
11430 N Port Washington Rd
Mequon, WI 530923414
Phone: (262) 518-1900
Fax: (262) 518-5052
Type: Location
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 532263522
Phone: (414) 805-5400
Fax: (414) 955-0115
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $786.
Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Medtronic, Inc. ($316).
Total Amount
$786
General + Research + Ownership
Payments
22
Total payment records
General Amount
$786
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $316 |
| Spinal Simplicity, LLC | $181 |
| Cerapedics Inc. | $172 |
| LivaNova USA, Inc. | $102 |
| Averitas Pharma Inc. | $16 |
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: 2005-08-22
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 |
|---|---|---|---|---|
| I20050822000968 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 128 | 109 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 88 | 76 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 71 | 71 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 32 | 16 | $0 |
Insurance plans in this area (ZIP 53233)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 12 | 12 |
| PHYSICIAN ASSISTANT | WI | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 24 | 11 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Orthopedic Surgery | IL | |
| - | WI |
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