Edward Fox
NPI 1578988291 · Nurse Practitioner · Mc Donald, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Fox is a Nurse Practitioner provider in Mc Donald, TN (NPI 1578988291).
Provider details
- NPI number
- 1578988291
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18446 (TN)
Specialties & taxonomies
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
151 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 61 | $98 |
| Automated Urinalysis Test81003 | 39 | $2 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 21 | $9 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 17 | $3 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $71 |
Typical Medicare-allowed amounts for these services range $2–$98 (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 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 64 | 34 |
| Lisinopril | 55 | 24 |
| Levothyroxine Sodium | 39 | 22 |
| Amlodipine Besylate | 38 | 23 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 36 | 18 |
| Famotidine | 34 | 20 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$511 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
Registry dates
- Enumerated
- 2014-03-04
- Last updated
- 2017-09-08
Frequently asked questions
- What is Edward Fox's NPI number?
- Edward Fox's National Provider Identifier (NPI) is 1578988291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Fox's specialty?
- Edward Fox is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edward Fox located?
- Edward Fox's practice location on file with NPPES is 1153 Candies Creek Rd, Mc Donald, TN 37353-5544.
- What is Edward Fox's phone number?
- The practice phone number listed in the NPPES registry for Edward Fox is (423) 473-1951.
- Does Edward Fox accept Medicare?
- Edward Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Fox's NPI active?
- Yes — Edward Fox's NPI (1578988291) is active in the NPPES registry as of the last update on 2017-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.