2026 NPPES data Psychiatry Physician NPI 1902162407 M.D.
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NICOLE FOX, M.D.

Psychiatry Physician in BOISE, Idaho. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
83.3209/100
▲ 0 pts above national avg 83.1 · [object Object]
Industry payments
$20.73
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICOLE FOX, M.D. is a Psychiatry Physician ([object Object]) practicing in BOISE, Idaho . Their CMS MIPS Final Score of 83.3209/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $20.73 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICOLE FOX, M.D. reported a CMS MIPS final score of 83.3209 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NICOLE FOX, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NICOLE FOX, M.D. at a glance

Near national average

NPI registry status

Active

Issued 04/09/2012

NPI 1902162407

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

MIPS final score

83.3209/100 0.22090000000000032% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Idaho

How Psychiatry Physician compares to other specialties among Idaho providers

Idaho providers

Psychiatry Physician share within Idaho

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Idaho

Medicare quality performance — MIPS

NICOLE FOX, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average

Near national average
MIPS Final Score
83.3209/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 83.3209/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Psychiatry Physician) — 83.3209/100 vs national avg 83.1

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).

NICOLE FOX, M.D. is a Psychiatry Physician provider practicing in BOISE, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1902162407. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NICOLE FOX, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 500 W FORT ST, BOISE, ID, 83702, with a listed phone of (206) 679-4232. NPI 1902162407 was issued on 04/09/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOX most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Psychiatry Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.3209/100 for the 2023 performance year (Quality 79.5148, Cost 64.8883), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

500 W FORT ST
BOISE, ID 83702

Provider Details

NPI 1902162407
Specialty Psychiatry Physician
Credentials M.D.
Gender Female
NPI Issued 04/09/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.3209
Final Score
Avg: 83.1
79.5148
Quality
64.8883
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE FOX, M.D. 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.

ST LUKES CLINIC-TREASURE VALLEY LLC
BOISE, ID

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 NICOLE FOX, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

Tolmar, Inc.

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.

Psychiatry Physician Overview

How NICOLE FOX, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

Nearby Psychiatry Physician Providers in Idaho

Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as FOX.

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE FOX, M.D.'s specialty?
NICOLE FOX, M.D. specializes in Psychiatry Physician and practices in BOISE, Idaho. Credentials: M.D..
What is NICOLE FOX, M.D.'s Medicare quality score?
NICOLE FOX, M.D. has a CMS MIPS Final Score of 83.3209/100 (Quality: 79.5148, Cost: 64.8883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE FOX, M.D. located?
NICOLE FOX, M.D. is located at 500 W FORT ST, BOISE, ID, 83702. Phone: (206) 679-4232.
What is NICOLE FOX, M.D.'s NPI number?
NICOLE FOX, M.D.'s National Provider Identifier (NPI) is 1902162407, issued on 04/09/2012.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
Does NICOLE FOX, M.D. accept Medicare?
NICOLE FOX, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE FOX, M.D.'s credentials?
NICOLE FOX, M.D.'s NPI is 1902162407 with credentials M.D.. 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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 April 2026 (NPPES) / 2023 (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