Dr. Stephen Fox, MD
1200 1st Ave E, Suite A, Spencer, IA 51301 • +1-332-555-2189
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Spencer Percentiles
NPI #1548221328 • CBSA Regional • Ophthalmology
Operating out of Spencer, IA (1200 1st Ave E, Suite A), Ophthalmology clinician Dr. Stephen Fox, MD (accredited MD/DO training, 1997) maintains a top-decile high-throughput specialist (99th percentile in Spencer) (75.86th IA percentile; Z-score -0.25σ across 8,038 documented services) with sub-specialty concentration in 35 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1548221328 highlights 2974 annual claims for 92014 (99th Spencer percentile; $199–$272 self-pay corridor) plus 2090 encounters under 92134 and 1366 under 92083.
At 1200 1st Ave E, Suite A (51301), Dr. Stephen Fox, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.79/5 bedside rating).
Credentialed as an MD specialist with 29 years post-graduation experience since completing medical school at an LCME/COCA institution (1997), Dr. Fox coordinates 35 Active CMS HCPCS Codes workups from 1200 1st Ave E, Suite A (+1-332-555-2189).
Top 10% Ophthalmology volume leader in Spencer, IA
8,038 annual services across 1,615 beneficiaries
Standard deviations from IA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 2,974 | 99th | $199 – $272 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 2,090 | 99.5th | $110 – $150 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 1,366 | 99.5th | $131 – $180 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 965 | 99.5th | $239 – $328 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 643 | 98th | $876 – $1201 |
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Dr. Stephen Fox, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fox National Provider Identifier | NPI #1548221328 (MD) | CMS NPPES Registry (51301) |
| Dr. Fox Spencer CMS Volume Rank | 99.00th Pct (8,038 CMS svcs; Z -0.248σ) | CMS Medicare Part B (IA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spencer, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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