Theodore Fox, NP
NPI 1164815817 · Family Nurse Practitioner · Greeneville, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Fox, NP is a Family Nurse Practitioner provider in Greeneville, TN (NPI 1164815817).
Provider details
- NPI number
- 1164815817
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 86493 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
112 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 51 | $71 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 26 | $11 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 22 | $102 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 13 | $47 |
Typical Medicare-allowed amounts for these services range $11–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 45 | 37 |
| Prednisone | 38 | 38 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 19 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 19 | 19 |
| Cephalexin | 18 | 18 |
| Methylprednisolone | 18 | 17 |
| Doxycycline Hyclate | 14 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$144 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (6)
- 438 E Vann Rd Ste 301Greeneville, TN 37743-7202Phone: (423) 787-7496
- 1132 Erwin Hwy Ste 8Greeneville, TN 37745-4405Phone: (423) 636-7300
- 378 Marketplace Blvd Ste 5Johnson City, TN 37604-2361Phone: (423) 282-0751
- 1905 American WayKingsport, TN 37660-5882Phone: (423) 230-8160Fax: (423) 230-8416
- 111 W Stone Dr Ste 110Kingsport, TN 37660-6027Phone: (423) 224-3701
- 405 Scenic Dr Ste aRogersville, TN 37857-2441Phone: (423) 921-3490
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Frequently asked questions
- What is Theodore Fox's NPI number?
- Theodore Fox's National Provider Identifier (NPI) is 1164815817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Fox's specialty?
- Theodore Fox is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodore Fox located?
- Theodore Fox's practice location on file with NPPES is 1021 Coolidge St Ste 5, Greeneville, TN 37743-4692.
- What is Theodore Fox's phone number?
- The practice phone number listed in the NPPES registry for Theodore Fox is (423) 636-8891.
- Does Theodore Fox accept Medicare?
- Theodore Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Fox's NPI active?
- Yes — Theodore Fox's NPI (1164815817) is active in the NPPES registry as of the last update on 2023-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.