Dr. Joshua C. Fox , MD
Orthopaedic Surgery • Austin, TX
4310 James Casey St Ste 3c
Austin, TX 787451120
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. Joshua Fox is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on June 9, 2007; this date does not establish years in practice.
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Published CMS data list 3,971 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:
- J7318 — Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg: 1,860 service units.
- J3304 — Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg: 830 service units.
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 376 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.
See all 15 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,115 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:
- Oxycodone Hcl — 239 prescription fills, including refills.
- Ibuprofen — 211 prescription fills, including refills.
- Meloxicam — 139 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 13 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Austin, TX (2024, 40 clinicians with data). Median for this group: 2,272. Middle half: 957 to 4,849.
More Medicare Part B services than 75% of clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: 1,519. Middle half: 441 to 3,971.
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 1,556 in 2020 to 3,971 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4310 James Casey St Ste 3c
Austin, TX 787451120
CMS Doctors and Clinicians lists 1 group name: Seton Family Of Doctors. 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 Texas Medical School At San Antonio
2006
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
404 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 $196,437 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 $151,532 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
1,151 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
$6,882 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: $2,290.46 across 5 records.
By nature of payment
- Consulting Fee: $2,200.00 across 1 record.
- Food and Beverage: $90.46 across 4 records.
Reporting-company totals (3 largest of 4)
- Stryker Corporation: $2,233.36 across 2 records.
- Ferring Pharmaceuticals Inc.: $20.93 across 1 record.
- Bioventus LLC: $19.98 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
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 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
2007
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 Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Austin, TX (2024, 40 clinicians with data). Median for this group: 2,272. Middle half: 957 to 4,849.
More Medicare Part B services than 75% of clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: 1,519. Middle half: 441 to 3,971.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Orthopaedic Surgery in Austin, TX (2024, 40 clinicians with data). Median for this group: $113,700. Middle half: $72,810 to $223,051.
A higher Medicare-allowed amount than 75% of clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: $93,061. Middle half: $33,032 to $185,853.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Orthopaedic Surgery in Austin, TX (2024, 40 clinicians with data). Median for this group: $84,877. Middle half: $52,997 to $169,317.
A higher Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: $68,861. Middle half: $24,418 to $138,660.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Orthopaedic Surgery in Austin, TX (2024, 41 clinicians with data). Median for this group: 315. Middle half: 84 to 519.
More Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery in Texas (2024, 928 clinicians with data). Median for this group: 324. Middle half: 137 to 652.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Orthopaedic Surgery in Austin, TX (2024, 41 clinicians with data). Median for this group: $2,391. Middle half: $526 to $4,814.
A higher Part D drug cost than 75% of clinicians listed under Orthopaedic Surgery in Texas (2024, 928 clinicians with data). Median for this group: $2,682. Middle half: $992 to $6,723.
88 active clinicians are listed under Orthopaedic Surgery with a practice address in Austin, TX (1,515 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
12.5% of these 88 clinicians have the CMS telehealth indicator.
45.5% of these 88 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 155% from 1,556 in 2020 to 3,971 in 2024.
- 2020: 1,556
- 2021: 3,670
- 2022: 2,576
- 2023: 3,905
- 2024: 3,971
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Medicare-allowed amount
Medicare-allowed amount decreased 16% from $234,208 in 2020 to $196,437 in 2024.
- 2020: $234,208
- 2021: $308,596
- 2022: $198,330
- 2023: $177,668
- 2024: $196,437
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Paid by Medicare
Paid by Medicare decreased 17% from $181,737 in 2020 to $151,532 in 2024.
- 2020: $181,737
- 2021: $240,312
- 2022: $151,287
- 2023: $136,685
- 2024: $151,532
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 223% from 345 in 2020 to 1,115 in 2024.
- 2020: 345
- 2021: 416
- 2022: 488
- 2023: 642
- 2024: 1,115
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30-day fills
30-day fills increased 203% from 380 in 2020 to 1,151 in 2024.
- 2020: 380
- 2021: 440
- 2022: 517
- 2023: 669
- 2024: 1,151
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Part D drug cost
Part D drug cost decreased 88% from $55,669 in 2020 to $6,882 in 2024.
- 2020: $55,669
- 2021: $3,879
- 2022: $5,533
- 2023: $5,552
- 2024: $6,882
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 94% from $35,728.94 in 2021 to $2,290.46 in 2025.
- 2021: $35,728.94
- 2022: $5,142.42
- 2023: $13,712.91
- 2024: $18,132.41
- 2025: $2,290.46
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 $2,290.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Consulting Fee
Cash or cash equivalent
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MAKO | General | $2,200.00 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $33.36 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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EUFLEXXA | General | $20.93 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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EXOGEN ULTRASOUND BONE HEALING SYSTEM | General | $19.98 |
| Core Surgical Group |
Food and Beverage
In-kind items and services
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— | General | $16.19 |
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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J7318
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
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1,860 | 22 | $31.00 | $6.46 |
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J3304
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
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830 | 11 | $57.00 | $17.36 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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376 | 60 | $5.00 | $0.97 |
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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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333 | 220 | $223.00 | $90.87 |
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20610
Aspiration and/or injection of fluid from large joint
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194 | 99 | $215.19 | $76.59 |
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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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132 | 108 | $329.00 | $127.89 |
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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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81 | 81 | $329.00 | $111.87 |
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20985
Computer-assisted surgery for muscle and bone procedure
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31 | 29 | $448.74 | $141.29 |
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27447
Replacement of knee joint, both sides of knee
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27 | 25 | $4145.00 | $1283.04 |
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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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22 | 22 | $501.00 | $167.50 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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21 | 21 | $4132.24 | $1267.62 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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18 | 18 | $413.50 | $127.08 |
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99441
Telephone medical discussion with physician, 5-10 minutes
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17 | 17 | $138.00 | $56.69 |
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J7327
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
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17 | 12 | $2700.00 | $673.35 |
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27245
Treatment of broken neck of thigh bone with bone implant
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12 | 12 | $3761.25 | $1213.45 |
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 |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 239 | 1,656 | $1,349.79 | 101 |
| Ibuprofen | Ibuprofen | 211 | 4,331 | $1,111.20 | 101 |
| Meloxicam | Meloxicam | 139 | 4,363 | $350.45 | 64 |
| Ondansetron Odt | Ondansetron | 127 | 489 | $700.95 | 102 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 91 | 701 | $607.45 | 30 |
| Methylprednisolone | Methylprednisolone | 74 | 444 | $440.26 | 62 |
| Gabapentin | Gabapentin | 68 | 1,781 | $507.26 | 17 |
| Tramadol Hcl | Tramadol Hcl | 48 | 338 | $125.86 | 26 |
| Celecoxib | Celecoxib | 39 | 1,488 | $990.28 | 14 |
| Amoxicillin | Amoxicillin | 32 | 37 | $32.97 | 17 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 19 | 147 | $135.83 | 11 |
| Methocarbamol | Methocarbamol | 17 | 124 | $30.90 | — |
| Baclofen | Baclofen | 11 | 330 | $498.75 | — |
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
Self-certified to NPPES: 2021-10-25NUCC 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.
NUCC Taxonomy Code: 207XX0801X
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20120726000309
TX
8628234226
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
Seton Family Of Doctors
6001 Kyle Pkwy, Kyle, TX 786406112
Phone: 5125045000
Seton Family Of Doctors
1400 N Ih 35, Austin, TX 787011926
Seton Family Of Doctors
12309 N Mopac Expy, Austin, TX 787582647
Phone: 5122464488
Seton Family Of Doctors
3707 S 2nd St, Austin, TX 787047049
Phone: 5122464488
Seton Family Of Doctors
1201 W 38th St, Austin, TX 787051006
Phone: 5123241000
Seton Family Of Doctors
1400 N Ih 35 Ll, Austin, TX 787011926
Phone: 5123247300
Seton Family Of Doctors
1004 W 32nd St, Austin, TX 787051006
Phone: 5123243580
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner (Certified), Registered Nurse
Surgery
Doctor of Medicine (M.D.)
Physical Therapist - Orthopedic
Physical Therapist
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4310 JAMES CASEY ST STE 3C, AUSTIN, TX 787451120 (Tel: 5122464488)
Registered at 4310 JAMES CASEY ST STE 3C, AUSTIN, TX 787451120 (Tel: 5122464488)
Registered at 1015 E 32ND ST STE 101, AUSTIN, TX 78705 (Tel: 5124776341)
Orthopaedic Surgery (license number reported to NPPES: TX N3646)
NPI status registered as active in NPPES database
Registered at 1015 E 32ND ST STE 101, AUSTIN, TX 787052700 (Tel: 5124776341)
Registered at 1015 E 32ND ST STE 101, AUSTIN, TX 787052700 (Tel: 5124776341)
Recorded as JOSHUA FOX, MD
Orthopaedic Surgery (license number reported to NPPES: TX N3646)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Austin
- Dr. Scott Spann, MD
- Scott Barnett
- Dr. Jack Seaquist, MD
- Dr. Brett Robin, MD
- Dr. Jacob Manuel, MD
- Dr. Robert Josey, MD
Mailing Address
4310 James Casey St Ste 3c
Austin, TX 787451120
Phone: 5122464488