Doctor profile · Federal record
Dr. Mark Fox, MD
Surgery Physician (CMS: General Surgery) · Crossville, TN
- NPI 1073526596
- Accepts Medicare
- MIPS 90.1 / 100 · 2023
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Lantana RD, Suite 202
Crossville, TN 385551903
(931) 484-5141
fax (931) 484-5620
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- June 7, 2021
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Tennessee #MD18036
- Medicaid
- TN #3058927
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073526596. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
479
Distinct HCPCS
10
Medicare allowed
$72,691
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | 51 | $101 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 50 | 50 | $160 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 48 | 48 | $222 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $152 | |
G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 43 | 43 | $165 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $103 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 33 | 33 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $83 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 28 | 26 | $109 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 25 | 23 | $52 |
In context: peer comparison
Among 3 peers in Crossville Surgery Physician, average services per provider: 128. This provider delivers 3.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
127
Patients
125
Total drug cost
$10,641
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 64 | 64 | $262 |
| Sutab (Sod Sulf/Pot Chloride/Mag Sulf) | Brand | 63 | 61 | $10,379 |
Frequently asked questions
What is Dr. Mark Fox's medical specialty?
Dr. Mark Fox practices Surgery Physician in Crossville, TN.
Where does Dr. Mark Fox practice?
Dr. Mark Fox practices at 100 Lantana RD, Crossville, TN 385551903. Office phone: 9314845141.
What is Dr. Mark Fox's NPI?
Dr. Mark Fox's National Provider Identifier (NPI) is 1073526596, issued by NPPES.
Does Dr. Mark Fox accept Medicare assignment?
Yes. Dr. Mark Fox accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Fox commonly perform?
Top Medicare-reported procedures in 2023: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43235); Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS G0105); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385). Source: CMS Medicare Physician & Other Practitioners file.