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Dr. Mark Alan Fox, MD
NPI1073526596PAC ID7113013715
- Medicare services, 2024
- 414
- Medicare patients, 2024
- 349
- Part D claims, 2024
- 160
- Publications
- 145
- MIPS score, 2024
- 78
- Practice address
- 421 S Main St, Crossville, TN 38555
- Practice phone
- Call (931) 484-9511
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
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Dr. Mark Alan Fox is a general surgeon in Crossville, Tennessee
Dr. Fox practices at Cumberland Medical Center in Crossville, Tennessee, part of Covenant Health.
Dr. Fox's NPI, 1073526596, was assigned on August 14, 2006. Dr. Fox graduated from University of Tennessee, Hsc, College of Medicine in 1986. Dr. Fox holds Tennessee license MD18036.
NPI and contact details
- NPI
- 1073526596NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7113013715
- NPI enumeration date
- August 14, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (931) 484-9511
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 66
- Medical school graduation
- 1986
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Mark Alan Fox practices at Cumberland Medical Center in Crossville, Tennessee
Dr. Fox's primary practice is Cumberland Medical Center, at 421 S Main St, Crossville, TN 38555 in Cumberland County. The practice phone is (931) 484-9511.
- Cumberland Medical Center421 S Main St, Crossville, TN 38555 · Cumberland CountyPhone(931) 484-9511
Source: Dmand AI Affiliation Data
Dr. Mark Alan Fox is affiliated with 3 sites of care and 2 medical groups
Dr. Fox's primary practice is Cumberland Medical Center in Crossville, Tennessee, part of Covenant Health. The medical group on file is Covenant Medical Group. Dmand AI also links Dr. Fox to 2 more group practices and clinics and 1 medical group, each named with a free account.
Covenant Medical Group2 group practices and clinicsNames with a free account1 medical groupName with a free account
See all 5 affiliations for Dr. FoxSources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Mark Alan Fox's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fox practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Cumberland Medical Center | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Mark Alan Fox is one of 548 general surgeons in Tennessee
Surgery is Dr. Fox's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Fox is licensed in Tennessee.
Specialties and state licenses
- Surgery, TennesseePrimary
General surgeons near Dr. Fox
Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.
548general surgeons in Tennessee
8general surgeons in Crossville
7general surgeons at Cumberland Medical CenterSources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Mark Alan Fox billed Medicare for 414 services in 2024
CMS data shows 414 Medicare services from Dr. Fox across 15 procedure codes in 2024, for 349 Medicare patients. Medicare paid $52,936 for them.
Medicare services, 2024414
Medicare patients349
Paid by Medicare$52,936
Procedure codes15
Dr. Fox's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1902024: 1995%
- Surgery
- 2023: 1822024: 11935%
- Other services
- 2023: 932024: 7915%
- Imaging
- 2023: 142024: 1721%
Where Dr. Fox's Medicare services took place, 2024
- In an office18745%
- In a facility22755%
Dr. Fox compared with the Tennessee median for general surgeons, 2024
- Dr. Fox
- Tennessee median
- Medicare services
- 414vs 1742.4 times
- Medicare patients
- 349vs 1222.9 times
- Part D claims
- 110vs 522.1 times
Medians across 548 general surgeons in Tennessee with Dmand AI profiles that report each measure.
Dr. Fox's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Mark Alan Fox treated 349 Medicare patients in 2024, average age 74
CMS counts 349 Medicare patients who saw Dr. Fox in 2024. The largest group is 65 to 74, with 172 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 5% are also on Medicaid. Their average risk score is 1.07, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Fox's median patient age at 69, with 50% women.
Medicare patients, 2024349
Average age74
Average risk score1.07
Also on Medicaid5%
Dr. Fox's Medicare patients by age, 2024
Dr. Fox's Medicare patients by sex, 2024
- Women15444%
- Men19556%
Chronic conditions among Dr. Fox's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis54%
- Diabetes29%
- Ischemic heart disease29%
- Cancer25%
- Anxiety21%
- Chronic kidney disease21%
Share of Medicare patients with each condition. A patient can have several.
Dr. Fox's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 69
Patient panel by sex, all payers
- Women50%
- Men50%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Mark Alan Fox wrote 160 Medicare Part D claims in 2024
In 2024, Dr. Fox wrote 160 Medicare Part D claims for 136 patients. 93% of them were for generic drugs. CMS names the drug for 110 of them, across 2 drugs with 11 or more claims each, at $358 in total drug cost. In 2023, CMS named 127 claims across 2 drugs.
Part D claims, 2024160
Drugs named by CMS2
Total drug cost$358
Part D patients136
Dr. Fox's Part D claims by kind of drug, 2024
- Generic149 claims93%
- Brand-name11 claims7%
Dr. Fox's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Fox's Part D claims, 2024
- Opioids69%111 of 160 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1272024: 11013%
Drugs named by CMS: 2 in 2024, 2 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Mark Alan Fox scored 78 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 78 out of 100 for Dr. Fox for performance year 2024, reported individually. Dr. Fox accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 19 procedures of hernia repair - groin (open) by Dr. Fox, more than 96% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Fox's MIPS scores, performance year 2024
- 78of 100Final score
- 74.4of 100Quality
- 100of 100Promoting Interoperability
- 20of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Fox ranks in Medicare procedure volume
- Colonoscopy
- 82nd percentile109 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 60th percentile40 procedures
- Hernia repair - groin (open)
- 96th percentile19 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Mastectomy: 1 to 10 procedures (CMS shows small counts as a range)
Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Mark Alan Fox has 145 publications on record
Dmand AI links 145 papers to Dr. Fox, published from 2010 to 2025. 2018 was the busiest year, with 15. The most frequent topics are Gastroesophageal Reflux, Manometry and Magnetic Resonance Imaging. Dr. Fox has published most often in Dalton Trans. Dr. Fox's most frequent co-authors are Chandra Prakash Gyawali, MD, John E. Pandolfino, MD and Ahmad Bassel Shughoury, MD.
Papers145
Years published2010 to 2025
Dr. Fox's papers by year, 2016 to 2025
Topics Dr. Fox writes about most
- Gastroesophageal Reflux
- Manometry
- Magnetic Resonance Imaging
- Esophagogastric Junction
- Esophageal Motility Disorders
- Proton Pump Inhibitors
- Irritable Bowel Syndrome
- Breath Tests
Dr. Fox's most frequent co-authors
- Chandra Prakash Gyawali, MD7 shared papers
- John E. Pandolfino, MD6 shared papers
- Ahmad Bassel Shughoury, MD5 shared papers
Recent publications by Dr. Fox
Esophageal Motility DisordersEsophageal pH MonitoringGastrectomy
Inn Med (Heidelb)
BrainBrain-Gut AxisGastrointestinal Microbiome
See who Dr. Fox researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Fox works with, so you can find a warm path to the right general surgeons.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Mark Alan Fox received $143 in industry payments from 2021 to 2022
CMS Open Payments shows 4 general payments to Dr. Fox from 2 drug and device companies from 2021 to 2022. Food and beverage make up the largest share, 100% of the total. Lucid Diagnostics Inc. paid the most, $115.
General payments to Dr. Fox by program year, 2021 to 2022
Companies that paid Dr. Fox the most, 2021 to 2022
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Mark Alan Fox graduated from University of Tennessee, Hsc, College of Medicine
Dr. Fox graduated from University of Tennessee, Hsc, College of Medicine in 1986.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Mark Alan Fox's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Mark Alan Fox
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Mark Alan Fox's NPI number?
Dr. Mark Alan Fox's NPI number is 1073526596. It was assigned on August 14, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Mark Alan Fox?
Dr. Mark Alan Fox is a general surgeon in Crossville, Tennessee. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).
Where does Dr. Mark Alan Fox practice?
Dr. Fox practices at 421 S Main St, Crossville, TN 38555. Dr. Fox's primary practice is Cumberland Medical Center in Crossville, Tennessee, part of Covenant Health. Dmand AI also links Dr. Fox to 2 group practices and clinics and 1 medical group.
What is Dr. Mark Alan Fox's office phone number?
The practice phone on file for Dr. Fox is (931) 484-9511.
What is Dr. Mark Alan Fox's medical license number?
Dr. Fox holds Tennessee license MD18036.
Which hospitals is Dr. Mark Alan Fox affiliated with?
Dr. Fox practices at Cumberland Medical Center in Crossville, Tennessee.
What medical group is Dr. Mark Alan Fox part of?
Dr. Fox is linked to Covenant Medical Group. Dmand AI links Dr. Fox to 1 more medical group.
Does Dr. Mark Alan Fox accept Medicare?
Yes. CMS data shows Dr. Fox billed Medicare for 414 services in 2024, and Dr. Fox accepts Medicare assignment.
What is Dr. Mark Alan Fox's MIPS score?
Dr. Fox's MIPS final score for performance year 2024 is 78 out of 100, reported individually.
How many Medicare patients does Dr. Mark Alan Fox see?
CMS counts 349 Medicare patients who saw Dr. Fox in 2024, with an average age of 74.
Show 7 more questionsShow fewer questions
What services does Dr. Mark Alan Fox bill to Medicare?
In 2024, Dr. Fox's most billed Medicare services were office visit, new patient (99203), medicare service (G0105) and office visit, new patient (99204).
Where did Dr. Mark Alan Fox go to medical school?
Dr. Fox graduated from University of Tennessee, Hsc, College of Medicine in 1986.
What drugs does Dr. Mark Alan Fox prescribe most?
In 2024 Medicare Part D data, Dr. Fox's most prescribed drugs by claims were Oxycodone-Acetaminophen and Hydrocodone-Acetaminophen.
Has Dr. Mark Alan Fox received payments from drug or device companies?
CMS Open Payments shows $143 in general payments to Dr. Fox from 2 companies from 2021 to 2022. The largest total came from Lucid Diagnostics Inc.
How long has Dr. Mark Alan Fox been practicing?
Dr. Fox graduated from medical school in 1986, 40 years ago.
Does Dr. Mark Alan Fox do research?
Dmand AI links 145 publications to Dr. Fox, published from 2010 to 2025.
Who does Dr. Mark Alan Fox publish with?
Dr. Fox's most frequent co-authors are Chandra Prakash Gyawali, MD (7 shared papers), John E. Pandolfino, MD (6 shared papers) and Ahmad Bassel Shughoury, MD (5 shared papers).
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