Thomas Cox, MD
NPI 1811930308 · General Practice Physician · Madisonville, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Cox, MD is a General Practice Physician provider in Madisonville, TN (NPI 1811930308).
Provider details
- NPI number
- 1811930308
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 09434 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
40 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) |
|---|---|---|
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 17 | $50 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 12 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 11 | $8 |
Typical Medicare-allowed amounts for these services range $8–$50 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 51 | 48 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 38 | 25 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 36 | 32 |
| Azithromycin | 35 | 31 |
| Doxycycline Hyclate | 26 | 21 |
| Cefdinir | 23 | 22 |
| Amoxicillin | 16 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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 (1)
- 1206 Highway 411Vonore, TN 37885-2455Phone: (423) 884-7271Fax: (423) 884-3277
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2021-04-10
- Certified
- 2021-04-10
Frequently asked questions
- What is Thomas Cox's NPI number?
- Thomas Cox's National Provider Identifier (NPI) is 1811930308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Cox's specialty?
- Thomas Cox is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Cox located?
- Thomas Cox's practice location on file with NPPES is 4798 New Highway 68, Madisonville, TN 37354-1287.
- What is Thomas Cox's phone number?
- The practice phone number listed in the NPPES registry for Thomas Cox is (423) 442-2622.
- Does Thomas Cox accept Medicare?
- Thomas Cox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Cox's NPI active?
- Yes — Thomas Cox's NPI (1811930308) is active in the NPPES registry as of the last update on 2021-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.