2026 NPPES data Cardiovascular Disease Physician NPI 1215387626 M.D.
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Daniel Fox, M.D.

Cardiovascular Disease Physician in Saint Louis, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,795 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
60
Medicare Part D claims · 22 beneficiaries · Cardiovascular Disease Physician avg: 3K
MIPS score
43/100
▼ 40 pts below national avg 83.1 · Below average
Industry payments
$222.98
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Daniel Fox, M.D. reported a CMS MIPS final score of 43/100 - below the 83.1 national average - and filed 60 Medicare Part D claims in 2023.

43/100
MIPS score · -40 vs avg
60
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.

Daniel Fox, M.D.'s MIPS score vs every scored U.S. clinician

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

43 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Daniel Fox, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Daniel Fox, M.D. writes more Part D claims than 3% of them and scores higher on MIPS quality than 5% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.169.292.3Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Daniel Fox, M.D.-Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Daniel Fox, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Daniel Fox, M.D. 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 Daniel Fox, M.D.?

Below national average

NPI registry status

Active

Issued 06/16/2016

NPI 1215387626

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

60 98% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

43/100 40.1 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Missouri

How Cardiovascular Disease Physician compares to other specialties among Missouri providers

Missouri providers
Pharmacist - 4.8%Pharmacist4.8%Professional Counselor - 4.8%Professional Counselor4.8%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Clinical Social Worker - 4.5%Clinical Social Worker4.5%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4%Physical Therapist4%Cardiovascular Disease Physician - 0.4%Cardiovascular Disease Physician0.4%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Daniel Fox, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
43/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 43/100 vs national avg 83.1

0%100%National avg83%43%
MIPS final score (Cardiovascular Disease Physician) - 43/100 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).

Daniel Fox, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 3023 N BALLAS RD STE 200D, Saint Louis, MO, 63131, with a listed phone of (314) 996-7272. NPI 1215387626 was issued on 06/16/2016. 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 60 prescription claims written by this provider, covering 22 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 43/100 for the 2023 performance year (Quality 0, Cost 10), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

3023 N BALLAS RD STE 200D
Saint Louis, MO 63131

Provider Details

NPI 1215387626
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 06/16/2016

CMS Quality Score (MIPS)

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

43
Final Score
Avg: 83.1
0
Quality
10
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Daniel Fox, M.D. 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.

Physician Groups LC
Saint Louis, MO

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 Daniel Fox, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$223

Largest payer

Edwards Lifesciences Corporation

Most common payment type

Food and Beverage

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.

60
Total Claims
$2K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
1,131
Generic Drug Cost
$926
Antibiotic Claims
19

Patient Demographics

Average Patient Age
80.5 years
Avg HCC Risk Score
1.45

Cardiovascular Disease Physician Overview

How Daniel Fox, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

Daniel Fox, M.D.'s 60 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Missouri

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Missouri medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Daniel Fox, M.D.'s specialty?
Daniel Fox, M.D. specializes in Cardiovascular Disease Physician and practices in Saint Louis, Missouri. Credentials: M.D..
How much does Daniel Fox, M.D. prescribe under Medicare Part D?
In 2023, Daniel Fox, M.D. wrote 60 Medicare Part D claims totaling $2K in drug costs for 22 beneficiaries.
What is Daniel Fox, M.D.'s Medicare quality score?
Daniel Fox, M.D. has a CMS MIPS Final Score of 43/100 (Quality: 0, Cost: 10). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Daniel Fox, M.D. located?
Daniel Fox, M.D. is located at 3023 N BALLAS RD STE 200D, Saint Louis, MO, 63131. Phone: (314) 996-7272.
What is Daniel Fox, M.D.'s NPI number?
Daniel Fox, M.D.'s National Provider Identifier (NPI) is 1215387626, issued on 06/16/2016.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
Does Daniel Fox, M.D. accept Medicare?
Daniel Fox, M.D. appears in CMS Medicare data with 60 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Daniel Fox, M.D.'s credentials?
Daniel Fox, M.D.'s NPI is 1215387626 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.