Ida Keiko Fox, MD

NPI 1629099031ActiveIndividual· Surgery, Plastic and Reconstructive Surgery· Saint Louis, MO

Surgery, Plastic and Reconstructive Surgery (MD) in Saint Louis, Missouri, trained at University of Rochester School of Medicine and Dentistry (class of 1999). In 2024 Medicare paid $50,778 for 97 patients, and Part D covered 55 of their prescriptions, 89% of them generic. Polynovo North America LLC reported $158.47 in payments in 2025, mostly food and beverage.

Overview

NPI	1629099031
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Jul 21, 2006
Last updated in NPPES	Sep 30, 2025
Certified by provider	Sep 30, 2025

Specialties and licenses

Taxonomy	Code	License	State
Surgery, Plastic and Reconstructive Surgery Primary	2086S0122X	2006009926	MO

About license numbers in NPPES

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 - Plastic and Reconstructive Surgery (MO)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	97
Services billed	342 across 83 procedure codes
Paid by Medicare	$50,778

Part D prescriptions in 2024

Prescriptions (claims)	55 · 57 30-day fills
Patients	23
Total drug cost	$390.83
Generic share	89% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Rochester School of Medicine and Dentistry
Graduation year	1999
Medicare specialty	Plastic And Reconstructive Surgery
Telehealth	Offers telehealth