NPPES file of Aug 9, 2026

Charles Andrew Fox, MD

Gastroenterology Physician · Wilmington, NC

Charles Andrew Fox, MD is a gastroenterology physician with a practice address in Wilmington, North Carolina, and NPI 1881685790, issued on Oct 31, 2005. Check the license on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881685790
Name
Charles Andrew Fox
Credential
MD
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
56056 GA
Self-reported in NPPES; status is on the state search
Practice location
1520 Physicians Dr, Wilmington, NC 28401
Phone
(910) 662-8300
Enumerated
Oct 31, 2005
Record last updated
Sep 19, 2024
Medicaid ID
786180765A GA
Medicare enrollment
Enrolled (PECOS I20240918003620); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1520 Physicians Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rosa BerryNurse Practitioner1962596981
  2. Katherine Brock, FNPNurse Practitioner1992378889
  3. Mehtap CanastarGastroenterology Physician1548657422
  4. Stacey Conti, PA-CPhysician Assistant1104870328
  5. Rebecca Edwards, PAPhysician Assistant1053331272
  6. Alexandra Evans, NURSE PRACTITIONERNurse Practitioner1558954891

Verify Charles Andrew Fox in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical BoardCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

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94% fewer Medicare Part D claims than the average gastroenterology physician in 2024

46 Medicare Part D claims for 27 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.

  1. Charles Fox46
  2. Specialty average811

Most prescribed

  1. Omeprazole22 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 79.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score56.5
  2. Costout of 100 · 30%78.1
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $20.73

1 payment: food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Charles Fox$20.73
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Novant Health Medical Group Coastal Region LLCLeland, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Charles Andrew Fox among 681 gastroenterology physician records in North Carolina

Charles Andrew Fox, MD is one of 681 gastroenterology physician records with a practice address in North Carolina. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 87% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1999 · median 2002 among the 498 with a school on file
  • Record last updated2024 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in North Carolina

There are 681 gastroenterology physician records in North Carolina.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Mehtap CanastarWilmington, NC 284011548657422
  2. Kevin Gaylord, MDWilmington, NC 284011235122656
  3. William Gramley, MDWilmington, NC 284011720072150
  4. Jisun Hahn, M.D.Wilmington, NC 284011043470628
  5. Jeremy Hess, DOWilmington, NC 284011760944938
  6. Michael Mastrangelo, MDWilmington, NC 284011376537712
  7. James Mertesdorf, M.D.Wilmington, NC 284011891789756
  8. Matthew Mlot, MDWilmington, NC 284011093728883

Common questions

What is Charles Andrew Fox, MD's NPI number?

Charles Andrew Fox, MD's National Provider Identifier (NPI) is 1881685790, issued on Oct 31, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Charles Andrew Fox, MD located?

The NPPES record lists a practice address at 1520 Physicians Dr, Wilmington, NC, 28401. Phone: (910) 662-8300. Providers update this record themselves, so call before visiting.

How can I verify Charles Andrew Fox, MD's license?

Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Charles Andrew Fox, MD prescribe under Medicare Part D?

In 2024, Charles Andrew Fox, MD had 46 Medicare Part D claims for 27 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Charles Andrew Fox, MD's MIPS final score?

The 2023 MIPS final score is 79.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.