ROBERT JOHN FOX JR. MD
NPI 1427097724
Dermatology in Austin, TX
NPI Status: Active since June 05, 2006
Contact Information
3807 SPICEWOOD SPRINGS RD
SUITE 200
AUSTIN, TX
ZIP 78759
Phone: (512) 476-9195
Fax: (512) 476-2857
- Individual
- Male
- Dermatology
- Accepts Insurance
- Medicare Quality Reporting
About ROBERT FOX
This page provides the complete NPI Profile along with additional information for Robert Fox, a provider established in Austin, Texas with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1427097724 assigned on June 2006. The practitioner's primary taxonomy code is 207N00000X with license number E5753 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1427097724
- Provider Name
- ROBERT JOHN FOX JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3807 SPICEWOOD SPRINGS RD SUITE 200 AUSTIN, TX 78759
- Location Phone
- (512) 476-9195
- Location Fax
- (512) 476-2857
- Mailing Address
- 3807 SPICEWOOD SPRINGS RD SUITE 200 AUSTIN, TX 78759
- Mailing Phone
- (512) 476-9195
- Mailing Fax
- (512) 476-2857
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-05-2006
- Last Update Date
- 08-04-2017
- Code Navigator
A dermatologist like Robert Fox is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- E5753
- License State
- TX
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8A1844 | MEDICARE PIN (08) | TX | |
| C15690 | MEDICARE UPIN (02) | TX |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Biopsy Follow-Up | 74% | 65 |
| Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician | ||
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Documentation of Current Medications in the Medical Record | 44% | 4588 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 97% | 3001 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Medication Reconciliation | 32% | 492 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Pain Assessment and Follow-Up | 42% | 4577 |
| Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
| Patient-Specific Education | 62% | 3326 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 62% | 1568 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 55% | 3326 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 0% | 3326 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 9 | 7 | 7 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 9 | 14 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 9 + 1 + 4 + 7 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1427097724 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407895709 | DR. TOM RIMBERT ROARK M.D. Individual | Dermatology | 3807 SPICEWOOD SPRINGS RD SUITE 200 AUSTIN, TX 78759 (512) 476-9195 |
| 1942232053 | HECTOR MORALES MD Individual | Surgery (Vascular Surgery) | 3807 SPICEWOOD SPRINGS RD SUITE 201 AUSTIN, TX 78759 (512) 477-3778 |
| 1245417294 | AUSTIN DERMCARE MSO, LLC Organization | Dermatology | 3807 SPICEWOOD SPRINGS RD STE 200 AUSTIN, TX 78759 (512) 476-9195 |
| 1922047133 | MARGARET KATHERINE HART MD Individual | Dermatology | 3807 SPICEWOOD SPRINGS RD SUITE 200 AUSTIN, TX 78759 (512) 476-9195 |
| 1013956291 | RACHEL LEAH MILLER PAC Individual | Physician Assistant | 3807 SPICEWOOD SPRINGS RD SUITE 200 AUSTIN, TX 78759 (512) 476-9195 |
| 1407895253 | DALE GLENN SCHAEFER MD Individual | Dermatology | 3807 SPICEWOOD SPRINGS RD SUITE 200 AUSTIN, TX 78759 (512) 476-9195 |
| 1477584845 | DEVENIR AESTHETICS, PA Organization | Plastic Surgery | 3807 SPICEWOOD SPRINGS RD SUITE 201 AUSTIN, TX 78759 (512) 477-3778 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427097724, enumerated in the NPI registry as an "individual" on June 05, 2006
The provider is located at 3807 Spicewood Springs Rd Suite 200 Austin, Tx 78759 and the phone number is (512) 476-9195
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Imperial Insurance Companies, Inc., Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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