Medicare Enrolled
Dr. Justin Fox, M.D.
Cardiovascular Disease · Hamilton, NJ
Practice pattern: Remote & Cardiac
— Practice combining remote and cardiac services
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fox from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Fox?
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What this data tells you about Dr. Fox
Dr. Justin Fox is a cardiovascular disease specialist in Hamilton, NJ, with 18 years of NPI registration. Based on federal Medicare data, Dr. Fox performed 6,069 Medicare services across 2,695 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fox received a total of $10,159 from 47 pharmaceutical and/or device companies across 726 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fox is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice
▲ Top 9% volume in NJ
$10,159 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,069
Medicare services
Top 9% in NJ for cardiovascular disease
2,695
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~337 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,219 | $99 | $160 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
991 | $12 | $75 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
683 | $53 | $75 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
607 | $42 | $88 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
581 | $44 | $100 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
452 | $45 | $68 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
260 | $161 | $1,100 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
259 | $34 | $90 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
198 | $53 | $352 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
148 | $89 | $121 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
140 | $394 | $1,500 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
107 | $145 | $224 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
92 | $66 | $110 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
58 | $10 | $115 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
45 | $172 | $1,300 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
37 | $16 | $30 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
32 | $130 | $250 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
23 | $101 | $160 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
20 | $17 | $56 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
19 | $111 | $225 |
| New patient office visit, complex (60-74 min) | 18 | $180 | $299 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
18 | $136 | $300 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
16 | $450 | $4,500 |
| Nuclear medicine heart pumping function test A nuclear medicine study that labels red blood cells to measure the volume of blood ejected from the heart with each beat over multiple cycles. |
12 | $192 | $450 |
| Aminophylline injection, up to 250 mg Administration of aminophylline medication via injection for a dose of up to 250 mg. |
12 | $3 | $4 |
| Right heart catheterization with coronary angiography A procedure to insert a tube into the right side of the heart and coronary arteries to gather diagnostic information, with review by a radiologist. |
11 | $187 | $2,150 |
| Technetium Tc-99m red blood cell scan A diagnostic nuclear medicine imaging study using Technetium Tc-99m labeled red blood cells to visualize blood flow or detect bleeding. |
11 | $52 | $115 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
4.7% high complexity
15.9% medium
79.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,159
Total received (2018-2024)
Avg $1,451/year across 7 years
Top 20% in NJ for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
726
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,115 (99.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$25 (0.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,538
2023
$1,738
2022
$1,416
2021
$1,351
2020
$976
2019
$1,733
2018
$1,407
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$408
AstraZeneca Pharmaceuticals LP
$175
Novartis Pharmaceuticals Corporation
$139
Merck Sharp & Dohme LLC
$117
Janssen Pharmaceuticals, Inc
$108
Medtronic, Inc.
$94
Amgen Inc.
$92
E.R. Squibb & Sons, L.L.C.
$74
Novo Nordisk Inc
$73
SCPHARMACEUTICALS INC.
$50
ShockWave Medical, Inc
$49
PFIZER INC.
$46
Bayer Healthcare Pharmaceuticals Inc.
$38
Boehringer Ingelheim Pharmaceuticals, Inc.
$31
Philips North America LLC
$28
CVRx, Inc.
$18
Top 3 companies account for 46.9% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$1,856
AstraZeneca Pharmaceuticals LP
$1,078
Abbott Laboratories
$978
Novartis Pharmaceuticals Corporation
$792
E.R. Squibb & Sons, L.L.C.
$673
Boston Scientific Corporation
$598
Amgen Inc.
$595
PFIZER INC.
$486
Merck Sharp & Dohme LLC
$382
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$254
Novo Nordisk Inc
$240
Medtronic, Inc.
$210
BOSTON SCIENTIFIC CORPORATION
$189
Boehringer Ingelheim Pharmaceuticals, Inc.
$178
Gilead Sciences, Inc.
$162
Merck Sharp & Dohme Corporation
$137
Amarin Pharma Inc.
$126
Edwards Lifesciences Corporation
$119
SANOFI-AVENTIS U.S. LLC
$95
ARBOR PHARMACEUTICALS, INC.
$72
GENZYME CORPORATION
$69
Regeneron Healthcare Solutions, Inc.
$65
Bayer Healthcare Pharmaceuticals Inc.
$57
ABIOMED
$54
Acist Medical Systems, Inc.
$51
Shockwave Medical, Inc
$51
AltaThera Pharmaceuticals LLC
$51
SCPHARMACEUTICALS INC.
$50
ShockWave Medical, Inc
$49
Bayer HealthCare Pharmaceuticals Inc.
$46
Alnylam Pharmaceuticals Inc.
$44
Kestra Medical Technology Services, Inc.
$40
Teleflex LLC
$36
Actelion Pharmaceuticals US, Inc.
$31
Cook Incorporated
$30
PORTOLA PHARMACEUTICALS, INC.
$28
Philips North America LLC
$28
AtriCure, Inc.
$23
Philips Electronics North America Corporation
$21
Janssen Biotech, Inc.
$18
CVRx, Inc.
$18
Tactile Systems Technology Inc
$16
United Therapeutics Corporation
$15
Lexicon Pharmaceuticals, Inc.
$13
Allergan Inc.
$12
Esperion Therapeutics, Inc.
$12
Medicure Pharma Inc.
$11
Top 3 companies account for 38.5% of all-time payments
Associated products mentioned in payments ›
(5050) Ext Holter · (BH4) IGT Devices Undivided · AVVIGO Guidance System · Adempas · Assure WCD · BEVYXXA · BRILINTA · BYSTOLIC · Barostim Neo System · CAMZYOS · CHANTIX · COOK MEDICAL ADVANCED TECH · COREVALVE EVOLUT R · CVI Systems · Corlanor · ELIQUIS · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edarbi · Edarbyclor · FABRAZYME · FARXIGA · FLEXITOUCH · FUROSCIX · GENERAL - STRUCTURAL HEART · Impella · Inpefa · JARDIANCE · Kerendia · LEQVIO · LOKELMA · Launcher · LifeVest · MANTA Vascular Closure Device · MULTAQ · Mitra Clip system · NEXLETOL · ONPATTRO · ONYX FRONTIER · OPSUMIT · Optis Coronary Imaging System · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PressureWire FFR · Ranexa · Repatha · Rybelsus · SYMPLICITY G3 · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Sotalol Hydrochloride · TYVASO · VERQUVO · VIGILANT · VYNDAQEL · Varithena Administration Pack · Vascepa · Vascular Lithotripsy · Verquvo · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · XIENCE SKYPOINT · Xience Alpine cornary stent system · Xience Sierra Coronary Stent · Xience Sierra Coronary Stent System · ZYPITAMAG (pitavastatin)
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Cardiologists within 10 mi
251
Per 100K population
65.5
County median income
$96,333
Nearest hospital
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fox is a remote & cardiac specialist, with above-average Medicare volume (top 9% in NJ), with low-engagement industry engagement in the top 20% of NJ peers, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Fox experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fox performed 1,219 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Fox receive payments from pharmaceutical companies?
Yes. Dr. Fox received a total of $10,159 from 47 companies across 726 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fox's costs compare to other cardiologists in Hamilton?
Dr. Fox's average Medicare payment per service is $70. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fox) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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