NPPES file of Aug 9, 2026

James Albert Fox, M.D.

Ophthalmology Physician · Grand Junction, CO

James Albert Fox, M.D. is an ophthalmology physician with a practice address in Grand Junction, Colorado, and NPI 1295997351, issued on Jun 30, 2008. Check the license (Colorado DR.0055856, as entered in NPPES) on the Colorado 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
1295997351
Name
James Albert Fox
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
DR.0055856 CO
14844 NV
Self-reported in NPPES; status is on the state search
Practice location
1000 Wellington Ave Ste A, Grand Junction, CO 81501
Phone
(720) 524-1001
Enumerated
Jun 30, 2008
Record last updated
Apr 20, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(970) 243-9023
Medicare enrollment
Enrolled (PECOS I20151202001204); accepts Medicare assignment
Medical or professional school
Loma Linda University School Of Medicine, 2008
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 1000 Wellington Ave Ste A

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

  1. Jonathan Harder, D.O.Ophthalmology Physician1316150287
  2. Justin Riffel, MDOphthalmology Physician1619627809
  3. Bryson Tudor, MDOphthalmology Physician1174147284

Verify James Albert Fox in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersColorado Medical Board
    Search for license DR.0055856
    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 Colorado license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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69% more Medicare Part D claims than the average ophthalmology physician in 2024

2,565 Medicare Part D claims for 642 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims. 30 claims were for opioids.

  1. James Fox2,565
  2. Specialty average1,518

Most prescribed

  1. Prednisolone Acetate486 claims
  2. Moxifloxacin404 claims
  3. Ketorolac Tromethamine401 claims
  4. Latanoprost371 claims
  5. Dorzolamide-Timolol217 claims
  6. Brimonidine Tartrate123 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.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

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

Industry payments in 2024: $8,300.59

18 payments; by number, the most common kind was food and beverage; the largest payer was Glaukos Corporation. 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. James Fox$8,300.59
  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 one group practice

  1. Total Vision Eye Care Group LLCGrand Junction, CO

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

James Albert Fox among 338 ophthalmology physician records in Colorado

James Albert Fox, M.D. is one of 338 ophthalmology physician records with a practice address in Colorado. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 70% of them.

  • NPI issued2008 · 70% of these records are older, 26% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2008 · median 2001 among the 199 with a school on file
  • Record last updated2020 · 64% 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 Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Colorado

There are 338 ophthalmology physician records in Colorado.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Jerry Bush, MDGrand Junction, CO 815011457464257
  2. Jonathan Harder, D.O.Grand Junction, CO 815011316150287
  3. Walter Hoffman, M.D.Grand Junction, CO 815011124019112
  4. Justin Riffel, MDGrand Junction, CO 815011619627809
  5. Randall Rottman, MDGrand Junction, CO 815011861406274
  6. Bryson Tudor, MDGrand Junction, CO 815011174147284
  7. Tracy Carter, D.O.Grand Junction, CO 815051922235258
  8. Gregory Kellam, MDGrand Junction, CO 815051548373343

Common questions

What is James Albert Fox, M.D.'s NPI number?

James Albert Fox, M.D.'s National Provider Identifier (NPI) is 1295997351, issued on Jun 30, 2008. An NPI identifies a provider in billing; it is not a license.

Where is James Albert Fox, M.D. located?

The NPPES record lists a practice address at 1000 Wellington Ave Ste A, Grand Junction, CO, 81501. Phone: (720) 524-1001. Providers update this record themselves, so call before visiting.

How can I verify James Albert Fox, M.D.'s license?

NPPES lists Colorado license number DR.0055856, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Albert Fox, M.D. prescribe under Medicare Part D?

In 2024, James Albert Fox, M.D. had 2,565 Medicare Part D claims for 642 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is James Albert Fox, M.D.'s MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

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.