Kyle D. Fox , PA-C
Physician Assistant โข Milwaukee, WI
9200 W Wisconsin Ave
Milwaukee, WI 53226
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 June 9, 2006; this date does not establish years in practice.
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Published CMS data list 756 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:
- 99214 โ Established patient outpatient office visit: 265 service units.
- 99213 โ Established patient outpatient office visit: 147 service units.
- 99205 โ New patient outpatient office visit: 128 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 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,248 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ 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 โ 318 prescription fills, including refills.
- Gabapentin โ 253 prescription fills, including refills.
- Tramadol Hcl โ 129 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 16 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: 92. Middle half: 49 to 184.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: 151. Middle half: 66 to 327.
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 422 in 2020 to 756 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
9200 W Wisconsin Ave
Milwaukee, WI 53226
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Greenfield, WI; Menomonee Falls, WI; Mequon, WI and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: The Medical College Of Wisconsin Inc. 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
2005
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
485 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 $84,438 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 $63,834 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
1,400 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
$21,580 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $393.10 across 3 records.
By nature of payment
- Food and Beverage: $393.10 across 3 records.
Reporting-company totals
- Spinal Simplicity, LLC: $393.10 across 3 records.
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
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 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, โDoes your provider accept Medicare as full payment?โ
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)
Kyle 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 Kyle 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 Milwaukee and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: 92. Middle half: 49 to 184.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: 151. Middle half: 66 to 327.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: $8,164. Middle half: $3,760 to $13,659.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $11,599. Middle half: $5,418 to $21,463.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: $6,071. Middle half: $2,707 to $10,602.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $8,471. Middle half: $3,957 to $15,807.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 383 clinicians with data). Median for this group: 102. Middle half: 43 to 340.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: 195. Middle half: 67 to 674.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 383 clinicians with data). Median for this group: $1,638. Middle half: $307 to $32,044.
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: $2,439. Middle half: $549 to $63,260.
821 active clinicians are listed under Physician Assistant with a practice address in Milwaukee, WI (3,476 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Milwaukee
11.2% of these 821 clinicians have the CMS telehealth indicator.
67.2% of these 821 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 79% from 422 in 2020 to 756 in 2024.
- 2020: 422
- 2021: 623
- 2022: 488
- 2023: 593
- 2024: 756
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Medicare-allowed amount
Medicare-allowed amount increased 127% from $37,139 in 2020 to $84,438 in 2024.
- 2020: $37,139
- 2021: $61,076
- 2022: $50,438
- 2023: $63,380
- 2024: $84,438
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Paid by Medicare
Paid by Medicare increased 121% from $28,830 in 2020 to $63,834 in 2024.
- 2020: $28,830
- 2021: $44,953
- 2022: $37,812
- 2023: $48,292
- 2024: $63,834
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 1,209 in 2020 and 1,248 in 2024.
- 2020: 1,209
- 2021: 1,051
- 2022: 1,089
- 2023: 1,066
- 2024: 1,248
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30-day fills
30-day fills stayed about the same: 1,307 in 2020 and 1,400 in 2024.
- 2020: 1,307
- 2021: 1,156
- 2022: 1,188
- 2023: 1,189
- 2024: 1,400
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Part D drug cost
Part D drug cost decreased 45% from $39,013 in 2020 to $21,580 in 2024.
- 2020: $39,013
- 2021: $24,403
- 2022: $22,247
- 2023: $17,542
- 2024: $21,580
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $308.63 in 2021 to $393.10 in 2025.
- 2021: $308.63
- 2022: $82.01
- 2023: $324.27
- 2024: $461.86
- 2025: $393.10
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 ยท 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 โ December 31, 2025): fewer than 11 records totaling $393.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Spinal Simplicity, LLC |
Food and Beverage
In-kind items and services
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HA MINUTEMAN G3-R | General | $169.14 |
| Spinal Simplicity, LLC |
Food and Beverage
In-kind items and services
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HA MINUTEMAN G3-R | General | $141.75 |
| Spinal Simplicity, LLC |
Food and Beverage
In-kind items and services
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HA MINUTEMAN G3-R | General | $82.21 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
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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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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265 | 212 | $366.00 | $102.47 |
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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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147 | 127 | $248.00 | $72.52 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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128 | 128 | $764.00 | $174.92 |
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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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103 | 98 | $570.00 | $142.84 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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50 | 46 | $110.00 | $72.49 |
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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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39 | 39 | $597.00 | $132.76 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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24 | 14 | $3989.00 | $29.94 |
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 | 318 | 4,765 | $3,684.87 | 124 |
| Gabapentin | Gabapentin | 253 | 11,191 | $3,324.41 | 88 |
| Tramadol Hcl | Tramadol Hcl | 129 | 2,619 | $503.86 | 41 |
| Methocarbamol | Methocarbamol | 102 | 1,670 | $870.07 | 38 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 95 | 1,367 | $1,876.31 | 32 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 69 | 1,061 | $444.27 | 43 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 67 | 1,353 | $1,283.66 | โ |
| Pregabalin | Pregabalin | 52 | 1,866 | $826.15 | 19 |
| Tizanidine Hcl | Tizanidine Hcl | 44 | 983 | $315.78 | 18 |
| Methylprednisolone | Methylprednisolone | 38 | 232 | $256.67 | 38 |
| Baclofen | Baclofen | 16 | 577 | $231.53 | โ |
| Amoxicillin | Amoxicillin | 16 | 19 | $17.48 | 11 |
| Hydromorphone Hcl | Hydromorphone Hcl | 14 | 100 | $85.77 | โ |
| Diazepam | Diazepam | 12 | 29 | $16.84 | 12 |
| Hysingla Er | Hydrocodone Bitartrate | 12 | 313 | $5,073.80 | โ |
| Oxycontin | Oxycodone Hcl | 11 | 300 | $2,768.15 | โ |
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: 2025-07-28NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20050822000968
WI
6103857917
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 Medical College Of Wisconsin Inc
W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518
Phone: 2622573200
The Medical College Of Wisconsin Inc
4805 S Moorland Rd, New Berlin, WI 531517401
Phone: 2627987700
The Medical College Of Wisconsin Inc
8701 W Watertown Plank, Milwaukee, WI 532263548
Phone: 4148053666
The Medical College Of Wisconsin Inc
W180n8071 Town Hall Rd, Menomonee Falls, WI 530513518
Phone: 2622532700
The Medical College Of Wisconsin Inc
8701 Watertown Plank Rd, Milwaukee, WI 532263548
Phone: 4148053666
The Medical College Of Wisconsin Inc
1155 N Mayfair Rd, Milwaukee, WI 532263462
Phone: 4149554263
The Medical College Of Wisconsin Inc
W180 N8065 Town Hall Rd, Menomonee Falls, WI 530513518
Phone: 2622511000
Secondary Practice Locations
960 N 12th St, Suite 1800
Milwaukee, WI 532331306
Phone: 4142789000
N91w15750 Falls Pkwy
Menomonee Falls, WI 530512301
Phone: 2625321100
11430 N Port Washington Rd
Mequon, WI 530923414
Phone: 2625181900
4455 S 108th St Ste 180
Greenfield, WI 532282504
Phone: 4149557199
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.), Master of Science, FRCSC
Physician Assistant
Physician Assistant (Certified)
Neurological Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Neurological Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: WI 1867)
Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 53226 (Tel: 4148055400)
Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148055400)
NPI status registered as active in NPPES database
Registered at 960 N 12TH ST, SUITE 1800, MILWAUKEE, WI 532331306 (Tel: 4142789000)
Registered at 960 N 12TH ST, SUITE 1800, MILWAUKEE, WI 532331306 (Tel: 4142789000)
Recorded as KYLE FOX, PA-C
Physician Assistant (license number reported to NPPES: WI 1867-023)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Milwaukee
- Lilian Fong, PA-C
- Erin Saeed, PA-C
- Courtney Young, PA-C
- Nai-Hua Lu, PA-C
- Nicole Fox, PA-C
- Candace Clark, PA
Mailing Address
9200 W Wisconsin Ave
Milwaukee, WI 532263522
Phone: 4148055400