2026 NPPES data Pediatrics Physician NPI 1306877709 MD
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CLAUDIA FOX, MD

Pediatrics Physician in MINNEAPOLIS, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
22
Medicare Part D claims · Pediatrics Physician avg: 762
MIPS score
81.7216/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$16.5K
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CLAUDIA FOX, MD reported a CMS MIPS final score of 81.7216/100 — below the 83.1 national average — and filed 22 Medicare Part D claims in 2023.

81.7216/100
MIPS score · -1 vs avg
22
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CLAUDIA FOX, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

82 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CLAUDIA FOX, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CLAUDIA FOX, MD?

Near national average

NPI registry status

Active

Issued 07/05/2006

NPI 1306877709

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

22 97% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

81.7216/100 1.3783999999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Pediatrics Physician compares to other specialties among Minnesota providers

Minnesota providers

Pediatrics Physician share within Minnesota

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Minnesota

Medicare quality performance — MIPS

CLAUDIA FOX, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

Near national average
MIPS Final Score
81.7216/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 81.7216/100 vs national avg 83.1

0%100%National avg83%81.7%
MIPS final score (Pediatrics Physician) — 81.7216/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CLAUDIA FOX, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 2220 RIVERSIDE AVE, MINNEAPOLIS, MN, 55454, with a listed phone of (612) 339-3663. NPI 1306877709 was issued on 07/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOX most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 22 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.7216/100 for the 2023 performance year (Quality 69.8683, Cost 59.7305), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

Provider Details

NPI 1306877709
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 07/05/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.7216
Final Score
Avg: 83.1
69.8683
Quality
59.7305
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CLAUDIA FOX, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

FAIRVIEW EXPRESS CARE
MAPLE GROVE, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CLAUDIA FOX, MD. Source: openpaymentsdata.cms.gov.

Total received

$16.5K

Largest payer

Novo Nordisk AS

Most common payment type

Travel and Lodging

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

22
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
28
Total Day Supply
803
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
23.0 years
Avg HCC Risk Score
0.58

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Topiramate
21

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatrics Physician Overview

How CLAUDIA FOX, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

CLAUDIA FOX, MD's 22 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as FOX.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CLAUDIA FOX, MD's specialty?
CLAUDIA FOX, MD specializes in Pediatrics Physician and practices in MINNEAPOLIS, Minnesota. Credentials: MD.
How much does CLAUDIA FOX, MD prescribe under Medicare Part D?
In 2023, CLAUDIA FOX, MD wrote 22 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
What is CLAUDIA FOX, MD's Medicare quality score?
CLAUDIA FOX, MD has a CMS MIPS Final Score of 81.7216/100 (Quality: 69.8683, Cost: 59.7305). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CLAUDIA FOX, MD located?
CLAUDIA FOX, MD is located at 2220 RIVERSIDE AVE, MINNEAPOLIS, MN, 55454. Phone: (612) 339-3663.
What is CLAUDIA FOX, MD's NPI number?
CLAUDIA FOX, MD's National Provider Identifier (NPI) is 1306877709, issued on 07/05/2006.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does CLAUDIA FOX, MD prescribe most often?
Based on 2023 Medicare Part D data, CLAUDIA FOX, MD's most frequently prescribed drugs include Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CLAUDIA FOX, MD accept Medicare?
CLAUDIA FOX, MD appears in CMS Medicare data with 22 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CLAUDIA FOX, MD's credentials?
CLAUDIA FOX, MD's NPI is 1306877709 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology