2026 NPPES data Otolaryngology Physician NPI 1770558462 MD
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MARY FOX, MD

Otolaryngology Physician in WAUKESHA, Wisconsin. 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
228
Medicare Part D claims · 91 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARY FOX, MD filed 228 Medicare Part D claims in 2023 as a Otolaryngology Physician in WAUKESHA, Wisconsin, prescribing 95% generic.

228
Part D claims, 2023
95%
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.

MARY FOX, MD's Medicare Part D volume vs every U.S. prescriber

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

228 49th percentile higher than 49% 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 certification likely (heuristic — not verified)

MARY FOX, MD 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 MARY FOX, MD?

Quality data not reported

NPI registry status

Active

Issued 02/17/2006

NPI 1770558462

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

228 55% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Wisconsin

How Otolaryngology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Otolaryngology Physician share within Wisconsin

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Otolaryngology 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).

MARY FOX, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1111 DELAFIELD ST, WAUKESHA, WI, 53188, with a listed phone of (262) 547-1614. NPI 1770558462 was issued on 02/17/2006. 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 228 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $10K in drug spend, split 5% brand-name and 95% 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1111 DELAFIELD ST
WAUKESHA, WI 53188

Provider Details

NPI 1770558462
Specialty Otolaryngology Physician
Credentials MD
Gender Female
NPI Issued 02/17/2006

Hospital and facility affiliations

Facilities where MARY FOX, MD 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.

MORELAND EAR NOSE AND THROAT GROUP LTD
WAUKESHA, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

MARY FOX, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 228 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.

228
Total Claims
$10K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
316
Total Day Supply
7,178
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$6K
Generic Drug Cost
$4K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
0.96
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What MARY FOX, MD 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
Fluticasone Propionate
38
Mupirocin
36
Ipratropium Bromide
24
Cefuroxime
Cefuroxime Axetil
22
Pantoprazole Sodium
13
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
11

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

Otolaryngology Physician Overview

How MARY FOX, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

MARY FOX, MD's 228 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is MARY FOX, MD's specialty?
MARY FOX, MD specializes in Otolaryngology Physician and practices in WAUKESHA, Wisconsin. Credentials: MD.
How much does MARY FOX, MD prescribe under Medicare Part D?
In 2023, MARY FOX, MD wrote 228 Medicare Part D claims totaling $10K in drug costs for 91 beneficiaries.
Where is MARY FOX, MD located?
MARY FOX, MD is located at 1111 DELAFIELD ST, WAUKESHA, WI, 53188. Phone: (262) 547-1614.
What is MARY FOX, MD's NPI number?
MARY FOX, MD's National Provider Identifier (NPI) is 1770558462, issued on 02/17/2006.
Does MARY FOX, MD prescribe more brand-name or generic drugs?
MARY FOX, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $6K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does MARY FOX, MD prescribe most often?
Based on 2023 Medicare Part D data, MARY FOX, MD's most frequently prescribed drugs include Fluticasone Propionate, Mupirocin, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY FOX, MD accept Medicare?
MARY FOX, MD appears in CMS Medicare data with 228 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY FOX, MD's credentials?
MARY FOX, MD's NPI is 1770558462 with credentials MD. 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