2026 NPPES data Gastroenterology Physician NPI 1164402350 M.D.
Verify on CMS →

Jean Fox, M.D.

Gastroenterology Physician in Rochester, Minnesota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology 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
156
Medicare Part D claims · 35 beneficiaries · Gastroenterology Physician avg: 848
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$118.45
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Jean Fox, M.D. filed 156 Medicare Part D claims in 2024 as a Gastroenterology Physician in Rochester, Minnesota, prescribing 58% generic.

156
Part D claims, 2024
58%
generic prescribing
Likely
board-certified (heuristic)
≥34th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Jean Fox, M.D.

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1164402350), first enumerated 01/23/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 156 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $118.45 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Fox with other Gastroenterology Physician providers

Same primary specialty, same federal CMS NPPES roster.

All 145 Gastroenterology Physician providers in Rochester, MN →

Also enrolled in Minnesota

Other specialties in Rochester: Internal Medicine Physician (1,046) · Nurse Practitioner (731) · Student in an Organized Health Care Education/Training Program (677) · Behavior Technician (542)

CMS NPPES provider registry desk

NPI 1164402350 · Gastroenterology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1164402350
  • ENUM-LEGACY 2006
  • TAX-MID 17K Gastroenterology Physician
  • RX-LIGHT 156
  • BOOK-THIN 369 in Minnesota
  • PHOTO-ENUM Darren Kastin, M.D. · 2006

Jean Fox, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

156 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

✓
Board certification likely (heuristic, not verified)

Jean Fox, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Jean Fox, M.D.?

Quality data not reported

NPI registry status

Active

Issued 01/23/2006

NPI 1164402350

Primary specialty

Gastroenterology Physician

Mid-sized

17,061 US NPIs in this specialty

Medicare Part D claims

156 82% vs specialty avg

2024 prescription claims

Specialty avg: 848

Specialty distribution in Minnesota

How Gastroenterology Physician compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician12%Clinical Social Worker4.7%Physical Therapist4%Pharmacist3.7%Student in an Organized Heal…3.4%Mental Health Counselor3.1%Gastroenterology Physician0.3%
Largest specialties in Minnesota (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:

How MIPS and board certification work

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).

Practice Address

200 1ST ST SW
Rochester, MN 55905

Provider Details

NPI 1164402350
Specialty Gastroenterology Physician
Credentials M.D.
Gender Female
NPI Issued 01/23/2006

Hospital and facility affiliations

Facilities where Jean 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.

Mayo Clinic
Rochester, 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 Jean Fox, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$118

Largest payer

Cook Medical LLC

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.

Brand vs generic prescribing mix · Above average

Jean Fox, M.D. - brand share 42.0%
Gastroenterology Physician average

42% brand-name claims vs 58% generic, on 156 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

156
Total Claims
$56K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
212.3
Total Day Supply
5,315
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$53K
Generic Drug Cost
$3K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.52
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Linzess
Linaclotide
42
Motegrity
Prucalopride Succinate
12

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

Gastroenterology Physician Overview

How Jean Fox, M.D. fits within the Gastroenterology Physician landscape nationally.

17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider

Jean Fox, M.D.'s 156 claims are below the specialty average of 848.

Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Fox, both outside Minnesota so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Gastroenterology Physician Providers in Minnesota

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

One of 369 Gastroenterology Physician providers enrolled in Minnesota, 11 are shown on this page.

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

Frequently Asked Questions

What is Jean Fox, M.D.'s specialty? ▼
Jean Fox, M.D. specializes in Gastroenterology Physician and practices in Rochester, Minnesota. Credentials: M.D..
How much does Jean Fox, M.D. prescribe under Medicare Part D? ▼
In 2024, Jean Fox, M.D. wrote 156 Medicare Part D claims totaling $56K in drug costs for 35 beneficiaries.
Where is Jean Fox, M.D. located? ▼
Jean Fox, M.D. is located at 200 1ST ST SW, Rochester, MN, 55905. Phone: (507) 284-2511.
What is Jean Fox, M.D.'s NPI number? ▼
Jean Fox, M.D.'s National Provider Identifier (NPI) is 1164402350, issued on 01/23/2006.
Does Jean Fox, M.D. prescribe more brand-name or generic drugs? ▼
Jean Fox, M.D.'s prescribing is 42% brand-name and 58% generic drugs by claim count, with $53K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
What drugs does Jean Fox, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jean Fox, M.D.'s most frequently prescribed drugs include Linzess, Motegrity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jean Fox, M.D. accept Medicare? ▼
Jean Fox, M.D. appears in CMS Medicare data with 156 Part D claims and 35 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jean Fox, M.D.'s credentials? ▼
Jean Fox, M.D.'s NPI is 1164402350 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

View source datasets and methodology notes
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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.