2026 NPPES data Pediatrics Physician NPI 1578594958 M.D.
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LANA FOX, M.D.

Pediatrics Physician in MARYVILLE, Tennessee. 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
331
Medicare Part D claims · 229 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

LANA FOX, M.D. filed 331 Medicare Part D claims in 2023 as a Pediatrics Physician in MARYVILLE, Tennessee, prescribing 93% generic.

331
Part D claims, 2023
93%
generic prescribing

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.

LANA FOX, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

331 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

LANA FOX, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about LANA FOX, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/05/2006

NPI 1578594958

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

331 57% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Tennessee

How Pediatrics Physician compares to other specialties among Tennessee providers

Tennessee providers

Pediatrics Physician share within Tennessee

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

LANA FOX, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC, MARYVILLE, TN, 37803, with a listed phone of (865) 379-2277. NPI 1578594958 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 331 prescription claims written by this provider, covering 229 Medicare beneficiaries and totaling roughly $6K in drug spend, split 7% brand-name and 93% 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.

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

CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC
MARYVILLE, TN 37803

Provider Details

NPI 1578594958
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 07/05/2006

Brand vs generic prescribing mix · Generic-heavy

LANA FOX, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 331 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.

331
Total Claims
$6K
Total Drug Cost
229
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
333
Total Day Supply
2,988
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$762
Generic Drug Cost
$4K
Antibiotic Claims
201

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.11
Gender Split
66% female / 34% male
Age Distribution
<65: 25, 65-74: 118, 75-84: 69, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What LANA 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
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
44
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
40
Doxycycline Hyclate
36
Methylprednisolone
23
Cefdinir
22
Lagevrio (Eua)
Molnupiravir
21
Mupirocin
20
Cephalexin
18
Prednisone
16
Azithromycin
15

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

Pediatrics Physician Overview

How LANA 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

LANA FOX, M.D.'s 331 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is LANA FOX, M.D.'s specialty?
LANA FOX, M.D. specializes in Pediatrics Physician and practices in MARYVILLE, Tennessee. Credentials: M.D..
How much does LANA FOX, M.D. prescribe under Medicare Part D?
In 2023, LANA FOX, M.D. wrote 331 Medicare Part D claims totaling $6K in drug costs for 229 beneficiaries.
Where is LANA FOX, M.D. located?
LANA FOX, M.D. is located at CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC, MARYVILLE, TN, 37803. Phone: (865) 379-2277.
What is LANA FOX, M.D.'s NPI number?
LANA FOX, M.D.'s National Provider Identifier (NPI) is 1578594958, issued on 07/05/2006.
Does LANA FOX, M.D. prescribe more brand-name or generic drugs?
LANA FOX, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $762 in brand drug costs.
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 LANA FOX, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LANA FOX, M.D.'s most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Nitrofurantoin Mono-Macro, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LANA FOX, M.D. accept Medicare?
LANA FOX, M.D. appears in CMS Medicare data with 331 Part D claims and 229 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LANA FOX, M.D.'s credentials?
LANA FOX, M.D.'s NPI is 1578594958 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.
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