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PROVIDER PROFILE · NPI 1073526596

Mark FoxMD

PRACTICECROSSVILLE MEDICAL GROUP PASee all providers at this practice →
General SurgeryCrossville, TNI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 440009
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
110
Beneficiaries
—
Total drug cost
$358
Distinct drugs
2
Brand share
100.0%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen86 claims
Hydrocodone/Acetaminophen24 claims
QUALITY · MIPS · 2024
Final MIPS score
78.4
Quality
74.4
Cost
89.7
Improvement activities
20.0
Promoting interop.
100.0
Payment adjustment
0.14%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Mark Fox's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 13 inbound referrers · 43 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
63151
NPI 107359032956159
Sidney Reiber
Certified Registered Nurse Anesthetist (CRNA) · Crossville, TN
54130
James Stallworth
Diagnostic Radiology · Nashville, TN
49142
Tamara Collins
Internal Medicine · Crossville, TN
26177
Elizabeth Petty
Internal Medicine · Crossville, TN
2382
Robert Nichols
Internal Medicine · Crossville, TN
23108
Douglas Carpenter
Family Practice · Crossville, TN
2286
Cumberland County Finance
Ambulance Service Provider · Crossville, TN
1940
WOJCIK, JAMES1855
Rhonda Bedell
Emergency Medicine · Moultrie, GA
1842
Mehran Monazam Tavallaee
Internal Medicine · Crossville, TN
1332
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CUMBERLAND MEDICAL CENTER, INC.3271,336
BARNAWELL, JAMES126378
KIMBRELL, KEITH68179
NPI 107359032958204
James Stallworth
Diagnostic Radiology · Nashville, TN
55168
DEMERS, JINIA46111
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
4287
Dirk Davidson
Medical Oncology · Crossville, TN
40591
Tammy Kellogg
Certified Registered Nurse Anesthetist (CRNA) · Crossville, TN
34103
Vianney Villaruz
Cardiology · Crossville, TN
3383
BROWN, BARRY3296
Samuel Ong
Cardiology · Crossville, TN
2971
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
408
Unique beneficiaries
—
Total services
414
Distinct HCPCS
15
Medicare payment
$53K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 486 General Surgery providers in TN — top quintile (cohort median 282).