NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1811930308 MD
Verify on CMS → Thomas Cox, MD
General Practice Physician in Madisonville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,677 in General Practice 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
956
Medicare Part D claims · 287 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
82%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$15.74
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Thomas Cox, MD filed 956 Medicare Part D claims in 2023 as a General Practice Physician in Madisonville, Tennessee, prescribing 82% generic.
- 956
- Part D claims, 2023
- 82%
- 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.
Thomas Cox, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
956 Top 25% higher than 75% of 1,370,886 prescribers
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)
Thomas Cox, 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 Thomas Cox, MD?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
956 67% vs specialty avg
Specialty distribution in Tennessee
How General Practice Physician compares to other specialties among Tennessee 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 General Practice 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).
Thomas Cox, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 4798 NEW HIGHWAY 68, Madisonville, TN, 37354, with a listed phone of (423) 442-2622. NPI 1811930308 was issued on 06/13/2006.
Medicare Part D records for calendar year 2023 show 956 prescription claims written by this provider, covering 287 Medicare beneficiaries and totaling roughly $103K in drug spend, split 15% brand-name and 82% generic by claim count.
General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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
Provider Details
| NPI | 1811930308 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/13/2006 |
Hospital and facility affiliations
Facilities where Thomas Cox, 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.
Chota Community Health Services
Vonore, TN
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 Thomas Cox, MD. Source: openpaymentsdata.cms.gov.
Total received
$16
Largest payer
Novo Nordisk 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
Thomas Cox, MD - brand share 15.0%
General Practice Physician average
15% brand-name claims vs 82% generic, on 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.
956
Total Claims
$103K
Total Drug Cost
287
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,739
- Total Day Supply
- 46,549
- Brand vs Generic
- 15% brand / 82% generic
- Brand Drug Cost
- $86K
- Generic Drug Cost
- $16K
- Antibiotic Claims
- 104
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 70, 65-74: 118, 75-84: 80, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Thomas Cox, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
67 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
42 claims
- Omeprazole
Omeprazole
36 claims
- Atorvastatin Calcium
Atorvastatin Calcium
31 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
28 claims
- Lisinopril
Lisinopril
28 claims
- Metformin Hcl 20
Metformin Hcl
20 claims
- Amoxicillin 17
Amoxicillin
17 claims
| Drug | Claims |
|---|---|
| Prednisone | 67 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 42 |
| Omeprazole | 36 |
| Atorvastatin Calcium | 31 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 28 |
| Lisinopril | 28 |
| Metformin Hcl | 20 |
| Amoxicillin | 17 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 16 |
| Losartan Potassium | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Thomas Cox, MD fits within the General Practice Physician landscape nationally.
16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Thomas Cox, MD's 956 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Cox.
Dr. Austin Adams
M.D.
Smyrna, TN
Dr. Olusina Adewale
M.D.
Dayton, TN
Dr. Yoo Ahn Sung
MD
Nashville, TN
Dr. David Alfredson
M.D.
Lewisburg, TN
Dr. William Algea
MD
Millington, TN
Compare General Practice Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby General Practice Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Tennessee
Frequently Asked Questions
What is Thomas Cox, MD's specialty? ▼
Thomas Cox, MD specializes in General Practice Physician and practices in Madisonville, Tennessee. Credentials: MD.
How much does Thomas Cox, MD prescribe under Medicare Part D? ▼
In 2023, Thomas Cox, MD wrote 956 Medicare Part D claims totaling $103K in drug costs for 287 beneficiaries.
Where is Thomas Cox, MD located? ▼
Thomas Cox, MD is located at 4798 NEW HIGHWAY 68, Madisonville, TN, 37354. Phone: (423) 442-2622.
What is Thomas Cox, MD's NPI number? ▼
Thomas Cox, MD's National Provider Identifier (NPI) is 1811930308, issued on 06/13/2006.
Does Thomas Cox, MD prescribe more brand-name or generic drugs? ▼
Thomas Cox, MD's prescribing is 15% brand-name and 82% generic drugs by claim count, with $86K in brand drug costs.
How many General Practice Physician providers are there in the US? ▼
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Thomas Cox, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Thomas Cox, MD's most frequently prescribed drugs include Prednisone, Albuterol Sulfate Hfa, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Cox, MD accept Medicare? ▼
Thomas Cox, MD appears in CMS Medicare data with 956 Part D claims and 287 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Cox, MD's credentials? ▼
Thomas Cox, MD's NPI is 1811930308 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.