NPPES file of Aug 9, 2026

Donald M. Fox, MD

Ophthalmology Physician · Jamaica, NY

Donald M. Fox, MD is an ophthalmology physician with a practice address in Jamaica, New York, and NPI 1922041474, issued on Jun 13, 2006. Check the license (New York 175459, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1922041474
Name
Donald M. Fox
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
175459 NY
Self-reported in NPPES; status is on the state search
Practice location
18005 Hillside Ave, Jamaica, NY 11432
Phone
(718) 262-6300
Enumerated
Jun 13, 2006
Record last updated
Oct 17, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(718) 262-7045
Medicare enrollment
Enrolled (PECOS I20040722001255); may accept Medicare assignment
Medical or professional school
Columbia University College Of Physicians And Surgeons, 1987
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 18005 Hillside Ave

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

  1. Najma Ahmed, MDInternal Medicine Physician1043253099
  2. Abid AkramPodiatrist1598734774
  3. Karuna BalkaranAdult Health Nurse Practitioner1982150157
  4. Vanessa Baumback, LCSWClinical Social Worker1598048019
  5. Dolores Borres, PTPhysical Therapist1104121565
  6. Lissiamma Chacko, MDPediatrics Physician1134167919

Verify Donald M. Fox in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 175459
    Check 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 New York license search

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

95 Medicare Part D claims for 47 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 43% of claims.

  1. Donald Fox95
  2. Specialty average1,518

Most prescribed

  1. Latanoprost24 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.

Industry payments in 2024: $179.58

6 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Donald Fox$179.58
  2. Specialty average$4,535.02

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

Bills Medicare through 2 group practices

  1. Icahn School OF Medicine AT Mount SinaiNew York, NY
  2. Lawrence Blum MD PCKew Gardens, NY

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

Donald M. Fox among 1,822 ophthalmology physician records in New York

Donald M. Fox, MD is one of 1,822 ophthalmology physician records with a practice address in New York. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.

  • NPI issued2006 · 16% of these records are older, 34% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1987 · median 1995 among the 1,215 with a school on file
  • Record last updated2011 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in New York

There are 1,822 ophthalmology physician records in New York.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Caroline Alexander, M.D.Jamaica, NY 114321083866875
  2. Tehara Bailey, M.D.Jamaica, NY 114321437382033
  3. Vivien Boniuk, MDJamaica, NY 114321790882405
  4. Jayant Desai, MDJamaica, NY 114321760550271
  5. Neal Desai, M.D.Jamaica, NY 114321831483866
  6. Gilad Ellenberg, MDJamaica, NY 114321538104427
  7. Chandak Ghosh, MDJamaica, NY 114321336221886
  8. Melanie Graham, MDJamaica, NY 114321881776342

Common questions

What is Donald M. Fox, MD's NPI number?

Donald M. Fox, MD's National Provider Identifier (NPI) is 1922041474, issued on Jun 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Donald M. Fox, MD located?

The NPPES record lists a practice address at 18005 Hillside Ave, Jamaica, NY, 11432. Phone: (718) 262-6300. Providers update this record themselves, so call before visiting.

How can I verify Donald M. Fox, MD's license?

NPPES lists New York license number 175459, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Donald M. Fox, MD prescribe under Medicare Part D?

In 2024, Donald M. Fox, MD had 95 Medicare Part D claims for 47 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

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.