2026 NPPES data MOHS-Micrographic Surgery Physician NPI 1316309586 M.D.
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JOSHUA FOX, M.D.

MOHS-Micrographic Surgery Physician in PINECREST, Florida. 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
500
Medicare Part D claims · 174 beneficiaries · MOHS-Micrographic Surgery Physician avg: 607
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$608.32
21 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSHUA FOX, M.D. is a MOHS-Micrographic Surgery Physician ([object Object]) practicing in PINECREST, Florida with a Medicare Part D prescribing footprint of 500 claims across 174 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 97.5/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $608.32 across 21 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSHUA FOX, M.D. reported a CMS MIPS final score of 97.5 out of 100, above the 83.1 national average, and filed 500 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSHUA 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).

JOSHUA FOX, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/25/2016

NPI 1316309586

Primary specialty

MOHS-Micrographic Surgery Physician

Niche

1,102 US NPIs in this specialty

Medicare Part D claims

500 18% vs specialty avg

2023 prescription claims

Specialty avg: 607

MIPS final score

97.5/100 14.400000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How MOHS-Micrographic Surgery Physician compares to other specialties among Florida providers

Florida providers

MOHS-Micrographic Surgery Physician share within Florida

1. MOHS-Micrographic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
MOHS-Micrographic Surgery Physician share within Florida

Medicare quality performance — MIPS

JOSHUA FOX, M.D.'s 2023 MIPS final score plotted against the MOHS-Micrographic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (MOHS-Micrographic Surgery Physician) — 97.5/100 vs national avg 83.1

0%100%National avg83%97.5%
MIPS final score (MOHS-Micrographic Surgery Physician) — 97.5/100 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).

JOSHUA FOX, M.D. is a MOHS-Micrographic Surgery Physician provider practicing in PINECREST, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1316309586. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSHUA FOX, M.D. appears in the CMS NPPES registry as a MOHS-Micrographic Surgery Physician provider holding M.D. credentials at 7700 SW 104TH ST, PINECREST, FL, 33156, with a listed phone of (305) 279-7546. NPI 1316309586 was issued on 03/25/2016. 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 500 prescription claims written by this provider, covering 174 Medicare beneficiaries and totaling roughly $62K in drug spend, split 4% brand-name and 96% generic by claim count. 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 97.5/100 for the 2023 performance year (Quality 95), compared with the national average of 83.1.

MOHS-Micrographic Surgery Physician is a narrow specialty nationwide, with 1,102 enrolled providers across 52 states and an average of 607 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

7700 SW 104TH ST
PINECREST, FL 33156

Provider Details

NPI 1316309586
Specialty MOHS-Micrographic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 03/25/2016

CMS Quality Score (MIPS)

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

97.5
Final Score
Avg: 83.1
95
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSHUA 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.

DEBORAH LONGWILL DO PA
PINECREST, FL

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 JOSHUA FOX, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$608

Largest payer

Organogenesis 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.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to JOSHUA FOX, M.D.. To verify JOSHUA FOX, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOSHUA FOX, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 500 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.

500
Total Claims
$62K
Total Drug Cost
174
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
567
Total Day Supply
14,849
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$41K
Generic Drug Cost
$21K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.31
Gender Split
47% female / 53% male
Age Distribution
<65: 12, 65-74: 95, 75-84: 47, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketoconazole
105
Triamcinolone Acetonide
62
Fluorouracil
38
Clobetasol Propionate
30
Doxycycline Hyclate
21
Imiquimod
19
Valacyclovir
Valacyclovir Hcl
18
Mupirocin
16
Cefadroxil
13
Nystatin
13

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

MOHS-Micrographic Surgery Physician Overview

How JOSHUA FOX, M.D. fits within the MOHS-Micrographic Surgery Physician landscape nationally.

1,102
MOHS-Micrographic Surgery Physician Providers in US
52
States with MOHS-Micrographic Surgery Physician
607
Avg Claims per Provider

JOSHUA FOX, M.D.'s 500 claims are below the specialty average of 607.

Nearby MOHS-Micrographic Surgery Physician Providers in Florida

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

Compare MOHS-Micrographic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSHUA FOX, M.D.'s specialty?
JOSHUA FOX, M.D. specializes in MOHS-Micrographic Surgery Physician and practices in PINECREST, Florida. Credentials: M.D..
How much does JOSHUA FOX, M.D. prescribe under Medicare Part D?
In 2023, JOSHUA FOX, M.D. wrote 500 Medicare Part D claims totaling $62K in drug costs for 174 beneficiaries.
What is JOSHUA FOX, M.D.'s Medicare quality score?
JOSHUA FOX, M.D. has a CMS MIPS Final Score of 97.5/100 (Quality: 95). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA FOX, M.D. located?
JOSHUA FOX, M.D. is located at 7700 SW 104TH ST, PINECREST, FL, 33156. Phone: (305) 279-7546.
What is JOSHUA FOX, M.D.'s NPI number?
JOSHUA FOX, M.D.'s National Provider Identifier (NPI) is 1316309586, issued on 03/25/2016.
Does JOSHUA FOX, M.D. prescribe more brand-name or generic drugs?
JOSHUA FOX, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $41K in brand drug costs.
How many MOHS-Micrographic Surgery Physician providers are there in the US?
There are 1,102 MOHS-Micrographic Surgery Physician providers across 52 states in the US. The average MOHS-Micrographic Surgery Physician provider writes 607 Medicare Part D claims per year.
What drugs does JOSHUA FOX, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA FOX, M.D.'s most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Fluorouracil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA FOX, M.D. accept Medicare?
JOSHUA FOX, M.D. appears in CMS Medicare data with 500 Part D claims and 174 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA FOX, M.D.'s credentials?
JOSHUA FOX, M.D.'s NPI is 1316309586 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