Donald M. Fox, MD
NPI 1922041474ActiveIndividual· Ophthalmology· Jamaica, NY
Ophthalmology (MD) in Jamaica, New York, trained at Columbia University College of Physicians and Surgeons (class of 1987). In 2024 Medicare paid $20,694 for 57 patients, and Part D covered 95 of their prescriptions, 57% of them generic. Amgen Inc. was the largest of 8 companies reporting payments in 2025, $278.76 in all, mostly food and beverage.
Overview
| NPI | 1922041474 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Oct 17, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 175459 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 190 across 29 procedure codes |
| Paid by Medicare | $20,694 |
Part D prescriptions in 2024
| Prescriptions (claims) | 95 · 147 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $14,082 |
| Generic share | 57% of claims |
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Ophthalmology |
| Secondary specialties | Plastic And Reconstructive Surgery |
Medical groups
- Icahn School of Medicine at Mount SinaiNew York, NY · 2,843 clinicians
- Lawrence Blum MD PCKew Gardens, NY · 2 clinicians
Industry payments (Open Payments)
- 2025$278.76 · 12 payments from 8 companies
- 2024$179.58 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $53.15 | 2 |
| Oyster Point Pharma, Inc. | $49.27 | 2 |
| Abbvie Inc. | $46.92 | 2 |
| Sun Pharmaceutical Industries Inc. | $35.41 | 2 |
| Regeneron Healthcare Solutions, Inc. | $28.16 | 1 |
What the 2025 payments were for
- Food and Beverage$278.76 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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