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Ophthalmology • Erie, PA 16501 • NPI #1669766481

Dr. Seth Fox, DO

128 West 12 St, Ste 200, Erie, PA 16501 • +1-672-555-2465

Medical Education: Accredited U.S. Medical School (Class of 2016)

31 Active CMS HCPCS Codes
4.75/5
Waiting-Room Score
6 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Erie Percentiles

NPI #1669766481 • CBSA Regional • Ophthalmology

Dr. Seth Fox DotMD Verification Badge

Dr. Seth Fox, DO (NPI #1669766481) practices Ophthalmology in Erie, PA (16501) with sub-specialty concentration in 31 Active CMS HCPCS Codes, recording 674 annual CMS services across 353 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (5.88th Erie percentile) (-0.51σ vs PA state mean, 1.28th statewide percentile).

Granular CPT/HCPCS billing distribution at 128 West 12 St, Ste 200 shows Dr. Seth Fox's primary concentration in Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam (code 92014: 249x/yr, 12th local percentile) alongside Scanning Computerized Ophthalmic Retinal OCT Imaging (92134: 175x/yr, $117–$161).

Uninsured and high-deductible cash patients visiting Dr. Seth Fox in Erie (16501) face an estimated $209.00 initial evaluation fee at 128 West 12 St, Ste 200 (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.70/5 from 6 verified reports).

Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. Seth Fox integrates 31 Active CMS HCPCS Codes diagnostics for Erie metro patients.

Erie Percentile 5.88th

Compared against Erie, PA Ophthalmology peers

PA State Percentile 1.28th

674 annual services across 353 beneficiaries

Regional Volume Z-Score -0.506σ

Standard deviations from PA 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 249 12th $213 – $292
92134 Scanning Computerized Ophthalmic Retinal OCT Imaging 175 12th $117 – $161
92083 Extended Threshold Visual Field Glaucoma Perimetry 115 12th $141 – $193
92004 New Patient Complete Medical Eye & IOP Evaluation 81 12th $256 – $351
66984 Extracapsular Cataract Removal w/ Intraocular Lens Implant 54 12th $938 – $1286
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Dr. Seth Fox, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Fox National Provider Identifier NPI #1669766481 (DO) CMS NPPES Registry (16501)
Dr. Fox Erie CMS Volume Rank 5.88th Pct (674 CMS svcs; Z -0.506σ) CMS Medicare Part B (PA Ophthalmology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Erie, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 20 min lobby wait 6 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.70/5 Listening • 4.86/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
20 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.70/5
Patient communication rating
Modern Protocol Openness
4.86/5
Preventive labs, GLP-1s & HRT
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