Doctor profile · Federal record
Dr. Seth Fox, D.O.
Ophthalmology Physician (CMS: Ophthalmology) · Erie, PA
- NPI 1669766481
- Accepts Medicare
- MIPS 84.2 / 100 · 2023
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
128 West 12 St, Ste 200
Erie, PA 16501
(814) 452-2796
fax (814) 454-7484
Credentials & registration
- NPI registered
- June 2011 — 15 yrs on file
- Profile last updated
- January 5, 2017
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- Pennsylvania #OS017528
- Medicaid
- PA #103118277
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669766481. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
641
Distinct HCPCS
10
Medicare allowed
$77,274
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 241 | 223 | $122 | |
92012 |
Established patient problem focused exam of visual system | 85 | 60 | $87 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 57 | 41 | $88 | |
92134 |
Imaging of retina | 55 | 52 | $38 | |
92004 |
New patient complete exam of visual system | 45 | 45 | $145 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 44 | 26 | $517 | |
92136 |
Measurement of corneal curvature and depth of eye | 44 | 28 | $37 | |
92133 |
Imaging of optic nerve | 38 | 38 | $35 | |
92083 |
Exam of visual field with extended testing | 17 | 17 | $60 | |
76514 |
Ultrasound scan of cornea to determine thickness | 15 | 14 | $11 |
In context: peer comparison
Among 9 peers in Erie Ophthalmology Physician, average services per provider: 704. This provider delivers 0.9× the peer median.Open Payments
Industry payments received
All-time total
$1,300
Transactions
43
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas INC. | 16 | $449.76 | |
| New World Medical,INC. | 2 | $248.56 | |
| Tarsus Pharmaceuticals, INC. | 6 | $151.77 | |
| Alcon Vision LLC | 6 | $135.75 | |
| Abbvie INC. | 2 | $60.84 | |
| Sight Sciences, INC. | 2 | $37.99 | |
| Dompe US, INC. | 1 | $32.99 | |
| Oyster Point Pharma, INC. | 1 | $29.16 | |
| Glaukos Corporation | 1 | $27.31 | |
| Johnson & Johnson Surgical Vision, INC. | 1 | $25.35 | |
| Harrow Eye, LLC | 1 | $23.71 | |
| Biotissue Holdings INC. | 1 | $22.85 | |
| Amgen INC. | 1 | $19.07 | |
| Mallinckrodt Hospital Products INC. | 1 | $19.02 | |
| Sun Pharmaceutical Industries INC. | 1 | $15.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
947
Patients
535
Total drug cost
$145,294
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisolone Acetate | Generic | 225 | 149 | $10,719 |
| Ketorolac Tromethamine | Generic | 175 | 118 | $4,786 |
| Moxifloxacin (Moxifloxacin Hcl) | Brand | 169 | 110 | $5,702 |
| Latanoprost | Generic | 77 | 33 | $1,290 |
| Cyclosporine | Generic | 49 | 29 | $43,660 |
| Lumigan (Bimatoprost) | Brand | 45 | 20 | $21,183 |
| Fluorometholone | Generic | 36 | 15 | $4,146 |
| Restasis (Cyclosporine) | Brand | 33 | 22 | $49,656 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 32 | 27 | $464 |
| Timolol Maleate | Generic | 24 | 12 | $324 |
Hospital affiliations
Frequently asked questions
What is Dr. Seth Fox's medical specialty?
Dr. Seth Fox practices Ophthalmology Physician in Erie, PA.
Where does Dr. Seth Fox practice?
Dr. Seth Fox practices at 128 West 12 St, Erie, PA 16501. Office phone: 8144522796.
What is Dr. Seth Fox's NPI?
Dr. Seth Fox's National Provider Identifier (NPI) is 1669766481, issued by NPPES.
Does Dr. Seth Fox accept Medicare assignment?
Yes. Dr. Seth Fox accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Seth Fox commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient problem focused exam of visual system (HCPCS 92012); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.