Dr. Edward J Fox , MD
Orthopaedic Surgery • Hershey, PA
30 Hope Dr, Ec-089
Hershey, PA 170332036
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Edward Fox is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on June 14, 2006; this date does not establish years in practice.
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Published CMS data list 429 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 315 service units.
- 99442 — Telephone medical discussion with physician: 51 service units.
- 99204 — New patient outpatient office visit: 24 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 664 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tymlos (Abaloparatide) — 147 prescription fills, including refills.
- Ultra-Fine Mini Pen Needle (Pen Needle, Diabetic) — 77 prescription fills, including refills.
- Ultra-Fine Nano Pen Needle (Pen Needle, Diabetic) — 66 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Hershey, PA (2024, 16 clinicians with data). Median for this group: 265. Middle half: 119 to 426.
Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: 1,409. Middle half: 423 to 3,828.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 391 in 2020 to 429 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
30 Hope Dr
Ec-089
Hershey, PA 170332036
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: The Milton S Hershey Medical Center Physicians Group. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Rochester School Of Medicine And Dentistry
1995
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
323 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $30,055 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $21,465 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
726 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$793,845 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $783.74 across 10 records.
By nature of payment
- Food and Beverage: $783.74 across 10 records.
Reporting-company totals (3 largest of 7)
- Ascendis Pharma Endocrinology Inc: $125.00 across 1 record.
- SpringWorks Therapeutics, Inc.: $125.00 across 1 record.
- Deciphera Pharmaceuticals Inc.: $124.99 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Fox has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Fox as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hershey and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Hershey, PA (2024, 16 clinicians with data). Median for this group: 265. Middle half: 119 to 426.
Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: 1,409. Middle half: 423 to 3,828.
Medicare-allowed amount
Close to the middle for clinicians listed under Orthopaedic Surgery in Hershey, PA (2024, 16 clinicians with data). Median for this group: $30,507. Middle half: $18,208 to $44,918.
A lower Medicare-allowed amount than 70% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: $79,921. Middle half: $29,713 to $179,136.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Orthopaedic Surgery in Hershey, PA (2024, 16 clinicians with data). Median for this group: $23,097. Middle half: $13,973 to $32,660.
A lower Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: $59,301. Middle half: $21,954 to $135,040.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: 160. Middle half: 61 to 411.
Too few clinicians listed under Orthopaedic Surgery in Hershey have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: $1,010. Middle half: $302 to $2,838.
Too few clinicians listed under Orthopaedic Surgery in Hershey have Medicare Part D data for 2024 to compare.
29 active clinicians are listed under Orthopaedic Surgery with a practice address in Hershey, PA (1,254 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hershey
10.3% of these 29 clinicians have the CMS telehealth indicator.
62.1% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 10% from 391 in 2020 to 429 in 2024.
- 2020: 391
- 2021: 368
- 2022: 348
- 2023: 402
- 2024: 429
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Medicare-allowed amount
Medicare-allowed amount increased 32% from $22,742 in 2020 to $30,055 in 2024.
- 2020: $22,742
- 2021: $26,484
- 2022: $25,288
- 2023: $28,145
- 2024: $30,055
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Paid by Medicare
Paid by Medicare increased 30% from $16,544 in 2020 to $21,465 in 2024.
- 2020: $16,544
- 2021: $20,171
- 2022: $17,500
- 2023: $20,372
- 2024: $21,465
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 98% from 335 in 2020 to 664 in 2024.
- 2020: 335
- 2021: 272
- 2022: 514
- 2023: 768
- 2024: 664
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30-day fills
30-day fills increased 88% from 386 in 2020 to 726 in 2024.
- 2020: 386
- 2021: 333
- 2022: 571
- 2023: 848
- 2024: 726
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Part D drug cost
Part D drug cost increased 203% from $261,591 in 2020 to $793,845 in 2024.
- 2020: $261,591
- 2021: $179,864
- 2022: $536,707
- 2023: $964,198
- 2024: $793,845
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 91% from $8,726.58 in 2021 to $783.74 in 2025.
- 2021: $8,726.58
- 2022: $1,198.32
- 2023: $1,098.50
- 2024: $3,216.23
- 2025: $783.74
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $783.74.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Ascendis Pharma Endocrinology Inc |
Food and Beverage
In-kind items and services
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Yorvipath | General | $125.00 |
| SpringWorks Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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OGSIVEO | General | $125.00 |
| Deciphera Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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ROMVIMZA | General | $124.99 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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— | General | $120.62 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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— | General | $114.26 |
| Radius Health, Inc. |
Food and Beverage
In-kind items and services
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Tymlos | General | $52.95 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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ALLOPURE | General | $36.27 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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PANGEA | General | $35.66 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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VALOR | General | $27.50 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
VALOR | General | $21.49 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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315 | 259 | $245.00 | $62.41 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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51 | 47 | $244.00 | $80.55 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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24 | 24 | $496.00 | $126.86 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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22 | 22 | $306.00 | $75.77 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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17 | 17 | $360.00 | $92.69 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tymlos | Abaloparatide | 147 | 4,590 | $389,799.68 | 22 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 77 | 2,303 | $1,328.10 | 11 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 66 | 1,860 | $1,029.85 | 11 |
| Forteo | Teriparatide | 64 | 1,792 | $235,732.17 | — |
| Oxycodone Hcl | Oxycodone Hcl | 57 | 1,329 | $1,047.81 | — |
| Teriparatide | Teriparatide | 56 | 1,792 | $151,631.78 | 14 |
| Diclofenac Sodium | Diclofenac Sodium | 28 | 791 | $601.30 | — |
| Alendronate Sodium | Alendronate Sodium | 25 | 2,100 | $165.77 | 11 |
| Tramadol Hcl | Tramadol Hcl | 24 | 277 | $29.15 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 23 | 345 | $303.78 | — |
| Celecoxib | Celecoxib | 20 | 720 | $445.09 | — |
| Sure Comfort Pen Needle | Pen Needle, Diabetic | 18 | 540 | $75.48 | — |
| Morphine Sulfate Er | Morphine Sulfate | 13 | 390 | $276.29 | — |
| Omeprazole | Omeprazole | 12 | 360 | $115.30 | — |
| Pregabalin | Pregabalin | 12 | 360 | $90.84 | — |
| Naproxen | Naproxen | 11 | 305 | $116.39 | — |
| Oxycontin | Oxycodone Hcl | 11 | 330 | $11,056.65 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20040416001145
PA
1052306206
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
The Milton S Hershey Medical Center Physicians Group
500 Universidy Dr, Hershey, PA 170332360
Phone: 7175318202
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pathology - Cytopathology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Nurse Practitioner
Certified Registered Nurse Practitioner
Ophthalmology
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Internal Medicine - Rheumatology
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History
NPI enumerated June 14, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Hershey
- Dr. Lauren Zeitlinger, DO
- Dr. Kevin Perry, MD
- Dr. Paul Juliano, MD
- Dr. Jesse Bible, MD, MHS
- Dr. Nikkole Haines, MD
- Dr. Kenneth Taylor, MD
More public profiles in Pennsylvania
Directory navigation, in NPI number order.
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Mailing Address
Po Box 858
Hershey, PA 170330858
Phone: 8002334082