2026 NPPES data Pediatrics Physician NPI 1992786305 M.D.
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JOHN FOX, M.D.

Pediatrics Physician in NEVADA, Missouri. 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
19K
Medicare Part D claims · 758 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
60.0087/100
▼ 23 pts below national avg 83.1 · [object Object]
Industry payments
$336.19
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN FOX, M.D. reported a CMS MIPS final score of 60.0087/100 — below the 83.1 national average — and filed 18,956 Medicare Part D claims in 2023.

60.0087/100
MIPS score · -23 vs avg
19K
Part D claims, 2023
86%
generic prescribing
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.

JOHN 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

60 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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)

JOHN 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 JOHN FOX, M.D.?

Below national average

NPI registry status

Active

Issued 11/11/2005

NPI 1992786305

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

18,956 2388% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

60.0087/100 23.091299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Missouri

How Pediatrics Physician compares to other specialties among Missouri providers

Missouri providers

Pediatrics Physician share within Missouri

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

Medicare quality performance — MIPS

JOHN FOX, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

Below national average
MIPS Final Score
60.0087/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 60.0087/100 vs national avg 83.1

0%100%National avg83%60%
MIPS final score (Pediatrics Physician) — 60.0087/100 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).

JOHN FOX, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 800 S ASH ST, NEVADA, MO, 64772, with a listed phone of (417) 667-3355. NPI 1992786305 was issued on 11/11/2005. 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 18,956 prescription claims written by this provider, covering 758 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 5.8%. 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 60.0087/100 for the 2023 performance year (Quality 31.8973, Cost 37.8978), 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

800 S ASH ST
NEVADA, MO 64772

Provider Details

NPI 1992786305
Specialty Pediatrics Physician
Credentials M.D.
Gender Male
NPI Issued 11/11/2005

CMS Quality Score (MIPS)

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

60.0087
Final Score
Avg: 83.1
31.8973
Quality
37.8978
Cost
88
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN 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.

NEVADA CITY HOSPITAL
NEVADA, 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 JOHN FOX, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$336

Largest payer

ABBVIE INC.

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 · Typical

JOHN FOX, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 18,956 2023 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 2023.

18,956
Total Claims
$1.8M
Total Drug Cost
758
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30,699
Total Day Supply
876,293
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$342K
Opioid Claims
1,099 (5.8% rate)
Antibiotic Claims
333

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.37
Gender Split
54% female / 46% male
Age Distribution
<65: 153, 65-74: 276, 75-84: 232, 85+: 97

Top Prescribed Drugs (Medicare Part D)

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

What JOHN FOX, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
812
Gabapentin
646
Atorvastatin Calcium
558
Lisinopril
539
Amlodipine Besylate
466
Pantoprazole Sodium
446
Omeprazole
356
Furosemide
341
Meloxicam
329
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
317

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

Pediatrics Physician Overview

How JOHN FOX, M.D. fits within the Pediatrics Physician landscape nationally.

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

JOHN FOX, M.D.'s 18,956 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Missouri

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

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

Frequently Asked Questions

What is JOHN FOX, M.D.'s specialty?
JOHN FOX, M.D. specializes in Pediatrics Physician and practices in NEVADA, Missouri. Credentials: M.D..
How much does JOHN FOX, M.D. prescribe under Medicare Part D?
In 2023, JOHN FOX, M.D. wrote 18,956 Medicare Part D claims totaling $1.8M in drug costs for 758 beneficiaries.
What is JOHN FOX, M.D.'s Medicare quality score?
JOHN FOX, M.D. has a CMS MIPS Final Score of 60.0087/100 (Quality: 31.8973, Cost: 37.8978). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN FOX, M.D. located?
JOHN FOX, M.D. is located at 800 S ASH ST, NEVADA, MO, 64772. Phone: (417) 667-3355.
What is JOHN FOX, M.D.'s NPI number?
JOHN FOX, M.D.'s National Provider Identifier (NPI) is 1992786305, issued on 11/11/2005.
Does JOHN FOX, M.D. prescribe more brand-name or generic drugs?
JOHN FOX, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $1.4M in brand drug costs.
Does JOHN FOX, M.D. prescribe opioids?
Yes, JOHN FOX, M.D. had 1,099 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
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 JOHN FOX, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN FOX, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Gabapentin, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN FOX, M.D. accept Medicare?
JOHN FOX, M.D. appears in CMS Medicare data with 18,956 Part D claims and 758 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN FOX, M.D.'s credentials?
JOHN FOX, M.D.'s NPI is 1992786305 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