NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1992201909 MD
Verify on CMS → Charlie Fox, MD
Gastroenterology Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
16
Medicare Part D claims · 14 beneficiaries · Gastroenterology Physician avg: 848
Industry payments
$272.51
10 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Charlie Fox, MD filed 16 Medicare Part D claims in 2024 as a Gastroenterology Physician in Salt Lake City, Utah.
- 16
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Charlie Fox, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1992201909), first enumerated 03/30/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 16 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$272.51 in reported industry payments (10 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1992201909 · Gastroenterology Physician
NPI-10 · ENUM-RECENT · TAX-MID · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1992201909
- ENUM-RECENT 2018
- TAX-MID 17K Gastroenterology Physician
- RX-TRACE 16
- BOOK-THIN 120 in Utah
- PHOTO-ENUM Melanie Pascal, MD · 2018
Charlie Fox, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
16 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Charlie Fox, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Charlie Fox, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
16 98% vs specialty avg
Specialty distribution in Utah
How Gastroenterology Physician compares to other specialties among Utah providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1992201909 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/30/2018 |
Hospital and facility affiliations
Facilities where Charlie Fox, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Utah Gastroenterology LLC
Salt Lake City, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Charlie Fox, MD. Source: openpaymentsdata.cms.gov.
Total received
$273
Largest payer
United Therapeutics Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
16
Total Claims
$28K
Total Drug Cost
14
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 35.2
- Total Day Supply
- 988
- Generic Drug Cost
- $401
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 0.87
- Age Distribution
- <65: 0, 65-74: 11, 75-84: N/A, 85+: N/A
Gastroenterology Physician Overview
How Charlie Fox, MD fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Charlie Fox, MD's 16 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Fox, both outside Utah so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Fox.
One of 120 Gastroenterology Physician providers enrolled in Utah, 5 are shown here.
Dr. Mohammad Alsolaiman
MD
American Fork, UT
Elizabeth Auckley
BA
Salt Lake City, UT
Dr. Dennis Avner
M.D.
Salt Lake City, UT
Dr. Genci Babameto
M.D.
West Jordan, UT
Dr. Robert Barnett
M.D.
Sandy, UT
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Charlie Fox, MD's specialty? ▼
Charlie Fox, MD specializes in Gastroenterology Physician and practices in Salt Lake City, Utah. Credentials: MD.
How much does Charlie Fox, MD prescribe under Medicare Part D? ▼
In 2024, Charlie Fox, MD wrote 16 Medicare Part D claims totaling $28K in drug costs for 14 beneficiaries.
Where is Charlie Fox, MD located? ▼
Charlie Fox, MD is located at 6360 S 3000 E STE 310, Salt Lake City, UT, 84121. Phone: (801) 944-3144.
What is Charlie Fox, MD's NPI number? ▼
Charlie Fox, MD's National Provider Identifier (NPI) is 1992201909, issued on 03/30/2018.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
Does Charlie Fox, MD accept Medicare? ▼
Charlie Fox, MD appears in CMS Medicare data with 16 Part D claims and 14 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charlie Fox, MD's credentials? ▼
Charlie Fox, MD's NPI is 1992201909 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.