Samantha J Fox , APNP
Nurse Practitioner โข Appleton, WI
1818 N Meade St, Ste 347
Appleton, WI 549113454
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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NPI assigned on April 15, 2014; this date does not establish years in practice.
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Published CMS data list 355 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 36415 โ Insertion of needle into vein for collection of blood sample: 112 service units.
- 99214 โ Established patient outpatient office visit: 100 service units.
- 93005 โ Routine electrocardiogram (ecg) using at least 12 leads with tracing: 68 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 ยท Guide: How to read Medicare Part B data
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Published CMS data list 48 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Potassium Chloride โ 15 prescription fills, including refills.
- Metoprolol Tartrate โ 11 prescription fills, including refills.
- Warfarin Sodium โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: 168. Middle half: 72 to 355.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 109 in 2020 to 355 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1818 N Meade St
Ste 347
Appleton, WI 549113454
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 3 distinct group names: Aspirus Stevens Point Hospital And Clinics, Inc.; Aspirus Wausau Hospital Inc; Thedacare, Incorporated. 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
2013
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
175 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 โ by Provider, 2024.
Medicare-allowed amount
About $18,836 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 โ by Provider and Service, 2024.
Paid by Medicare
About $14,220 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 โ by Provider and Service, 2024.
30-day fills
48 standardized 30-day fills in 2022
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
$532 in 2022
The total cost of these prescriptions in 2022, 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 โ by Provider and Drug, 2022.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 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
2014
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, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Samantha 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 Samantha 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 Appleton and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: 168. Middle half: 72 to 355.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: $10,111. Middle half: $5,993 to $21,212.
A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $13,707. Middle half: $6,114 to $26,154.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: $7,624. Middle half: $4,308 to $15,546.
A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $10,011. Middle half: $4,480 to $19,097.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Samantha Fox are from 2022.
155 active clinicians are listed under Nurse Practitioner with a practice address in Appleton, WI (3,995 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Appleton
6.5% of these 155 clinicians have the CMS telehealth indicator.
60.6% of these 155 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 226% from 109 in 2020 to 355 in 2024.
- 2020: 109
- 2021: 71
- 2022: 215
- 2023: 343
- 2024: 355
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Medicare-allowed amount
Medicare-allowed amount increased 137% from $7,954 in 2020 to $18,836 in 2024.
- 2020: $7,954
- 2021: $5,076
- 2022: $11,423
- 2023: $16,887
- 2024: $18,836
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Paid by Medicare
Paid by Medicare increased 132% from $6,134 in 2020 to $14,220 in 2024.
- 2020: $6,134
- 2021: $4,008
- 2022: $9,114
- 2023: $12,372
- 2024: $14,220
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 26% from 38 in 2017 to 48 in 2022.
- 2017: 38
- 2018: 24
- 2019: 54
- 2020: 42
- 2022: 48
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30-day fills
30-day fills increased 26% from 38 in 2017 to 48 in 2022.
- 2017: 38
- 2018: 24
- 2019: 54
- 2020: 46
- 2022: 48
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Part D drug cost
Part D drug cost went from $353 in 2017 to $532 in 2022.
- 2017: $353
- 2018: $258
- 2019: $445
- 2020: $432
- 2022: $532
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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36415
Insertion of needle into vein for collection of blood sample
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112 | 105 | $13.00 | $8.58 |
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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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100 | 100 | $389.80 | $100.27 |
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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68 | 68 | $65.20 | $5.75 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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38 | 26 | $245.19 | $62.16 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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37 | 37 | $520.60 | $137.71 |
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 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Potassium Chloride | Potassium Chloride | 15 | 308 | $315.77 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 11 | 202 | $100.17 | โ |
| Warfarin Sodium | Warfarin Sodium | 11 | 40 | $51.98 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | 159 | $64.48 | โ |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-09-11NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LA2200X
NUCC Taxonomy Code: 363LG0600X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20140521001749
WI
3173746047
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
Thedacare, Incorporated
225 Memorial Dr, Berlin, WI 549231243
Phone: 9207202300
Aspirus Wausau Hospital Inc
333 Pine Ridge Blvd, Wausau, WI 544014102
Phone: 7158472866
Aspirus Stevens Point Hospital And Clinics, Inc.
900 Illinois Ave, Stevens Point, WI 544813114
Phone: 7153465000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Nurse Practitioner
CCNS, Advanced Practice Nurse Prescriber
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
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 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9207357645)
Nurse Practitioner (license number reported to NPPES: WI 5755)
NPI status registered as active in NPPES database
Registered at 1818 N MEADE ST, STE 347, APPLETON, WI 549113454 (Tel: 9207318900)
Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963200)
Recorded as SAMANTHA FOX, APNP
Nurse Practitioner (license number reported to NPPES: WI 5755)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Appleton
- Kayla Lenzner, APNP
- Jill Buchinger, APNP
- Christie Henke, NP
- Marci Messerschmidt, APNP
- Tara Maclean, APNP
- Ann Hefter, AGACNP-BC, MSN, BSN
Mailing Address
3 Neenah Ctr
Neenah, WI 549563070
Phone: 9207357645