Robert E. Fox, MD
NPI 1003853268ActiveIndividual· Internal Medicine· Westerly, RI
Internal Medicine (MD) with Ptsma Inc and 2 other groups, practicing in Westerly, Rhode Island. Their prescriptions cost Medicare Part D more than their services did: $386,890 for 8,346 claims, against $55,297 paid for services in 2024. Lists South County Hospital Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1003853268 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Feb 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD09837 | RI |
| Internal Medicine, Adolescent Medicine | 207RA0000X | RI9837 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 271 |
|---|---|
| Services billed | 677 across 17 procedure codes |
| Paid by Medicare | $55,297 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,346 · 17,579 30-day fills |
|---|---|
| Patients | 585 |
| Total drug cost | $386,890 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Ptsma IncAnsonia, CT · 224 clinicians
- Silver Spring Health Care Management IncNarragansett, RI · 134 clinicians
- Wood River Health Services IncHope Valley, RI · 14 clinicians
Hospital affiliations
- South County Hospital IncWakefield, RI
- Westerly HospitalWesterly, RI
Other facilities
- Amedisys Home Health CareHome health agency · Warwick, RI
- Bayada Home Health Care IncHome health agency · Providence, RI
- South County Home HealthHome health agency · Wakefield, RI
- Yale New Haven Health - Health at Home SoutheastHome health agency · Waterford, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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