Physician

Eric Fox

According to 2025 Medicare claims, Eric Fox (NPI: 1417310038) practices hematology in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Montgomery, PA. This provider's primary affiliated billing organization is BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION (NPI: 1841226099; TIN: 23-1714249) and primary practice location at 19010-3200. Fox is affiliated with the Aledade 101 Regional MSSP (ACO ID: A5216), participating under the MSSP model.

Fox's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 742 traditional Medicare patients, billed 170,077 HCPCS/CPT codes, and received $1,806,673 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 780 prescription claims across 202 beneficiaries totaling $1,436,544 in drug costs, led by Verzenio (Abemaciclib). 2022 DME data shows 42 claims. Open Payments data shows 238 records totaling $5,596. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,479 to $1,436,544. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	248	32,043	$349,640
2023	414	55,609	$502,733
2024	742	170,077	$1,806,673

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	13	30	$1,479
2017	52	142	$6,878
2018	65	147	$16,240
2019	70	240	$41,188
2020	41	113	$63,031
2021	46	203	$245,969
2022	59	210	$702,856
2023	63	189	$180,175
2024	202	780	$1,436,544

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	39	$785
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	42	$964
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	136	$146
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$136
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	664	$101
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	322	532	$74
96372	Injection of drug or substance under skin or into muscle	94	496	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Verzenio	Abemaciclib	21	588	$369,222
Inlyta	Axitinib	12	360	$243,878
Imbruvica	Ibrutinib	12	336	$195,838
Venclexta	Venetoclax	13	364	$95,306
Eliquis	Apixaban	110	4,101	$75,522

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	238	$5,596	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Eric Fox?

Tedicare shows public-source Medicare data for Eric Fox (NPI 1417310038), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Eric Fox have ACO affiliation data?

Eric Fox is shown with ACO affiliation data for Aledade 101 Regional MSSP (MSSP, ACO ID A5216).

What billing organization is linked to Eric Fox?

Eric Fox is linked to BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION (billing NPI 1841226099) in the available physician profile data.

Does Eric Fox have Open Payments data?

Eric Fox has 238 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.