What is James Fox's specialty?

James Fox (NPI 1295997351) is a Medicare-billing provider whose primary specialty is Ophthalmology in Grand Junction, CO.

Where does James Fox practice?

James Fox practices in Grand Junction, CO, based on the location reported in the CMS Medicare provider datasets for NPI 1295997351.

How much does Medicare pay James Fox?

James Fox (NPI 1295997351) received approximately $560K in total Medicare Part B payments, serving 971 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1295997351

James FoxM.D.

PRACTICETOTAL VISION EYE CARE GROUP, LLCSee all providers at this practice →

OphthalmologyGrand Junction, COI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,326

Unique beneficiaries

—

Total services

4,283

Distinct HCPCS

Medicare payment

$531K

Peer benchmark

Total Medicare services vs. 288 Ophthalmology providers in CO — top quintile (cohort median 1,772).

PRESCRIBING · PART D · 2024

Total Rx claims

2,485

Beneficiaries

—

Total drug cost

$242K

Distinct drugs

Brand share

34.6%

Top prescribed drugs

Prednisolone Acetate486 claims

Moxifloxacin Hcl404 claims

Ketorolac Tromethamine401 claims

Latanoprost371 claims

Dorzolamide Hcl/Timolol Maleat217 claims

QUALITY · MIPS · 2024

Final MIPS score

90.4

Quality

88.7

Cost

76.4

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.65%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$8K

Payment records

By payment type

Long term medical supply or device loan$7K

Food and Beverage$826

Top paying entities

Long term medical supply or device loan$7K

Food and Beverage$826

REFERRAL NETWORK

Where James Fox's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 17 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
RENOWN REGIONAL MEDICAL CENTER	73	125
NORTHEASTERN RURAL HEALTH CLINICS	30	43
MARASON, RICHARD	13	14
NPI 1346310463	11	49

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
RENOWN REGIONAL MEDICAL CENTER	67	102
Laboratory Corporation Of America Clinical Laboratory · Phoenix, AZ	64	100
BANNER LASSEN MEDICAL CENTER	45	77
SIERRA VISTA SURGERY CENTER, LLC	37	132
NORTHEASTERN RURAL HEALTH CLINICS	29	39
RENOWN SOUTH MEADOWS MEDICAL CENTER	27	48
PRIME HEALTHCARE SERVICES RENO LLC	20	25
Arshad Khanani Ophthalmology · Reno, NV	15	22
MAILANDER, PAUL	13	33
NPI 1346310463	12	64
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	12	19
SPARKS FAMILY HOSPITAL INC	11	17

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events