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FRED GREGORY COX MD
NPI 1104830801
Internal Medicine in South Fulton, TN

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
95.73/100
CMS Quality Rating
1135 BROADWAY ST, SOUTH FULTON, TN 38257(731) 479-2606(731) 479-2610 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Gregory Cox Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED GREGORY COX MD (NPI 1104830801) is an individual internal medicine provider in South Fulton, Tennessee, licensed in Tennessee (41561) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1996).

NPPES Registry Identity

NPI1104830801
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFRED GREGORY COXCredential: MD
Location Address1135 BROADWAY STSouth Fulton, TN 38257-2835
Mailing Address1135 Broadway StSouth Fulton, TN 38257-2835 · (731) 479-2606 · Fax (731) 479-2610
Phone(731) 479-2606
Fax(731) 479-2610
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1996
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1104830801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TN · 41561✔ Licensed in KY · 34657
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1135 BROADWAY ST, South Fulton, TN 38257
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Other Identifiers 6

Other103I118585TN · Medicare B-tn
Medicare PIN0933211KY
Medicaid6402855KY
Medicare UPING94710KY
Medicaid4045889TN
Medicare PIN0270812KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fred Gregory Cox Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264493444
PECOS Enrollment IDI20100609000316
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
125 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
94 services87 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
84 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38257 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.39
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%7,951 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
39%537 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%124 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
18%1,352 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%1,352 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,352 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%1,352 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers79 claims250 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers51 claims69 services$1.01 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$44.11 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers21 claims42 services$60.97 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers20 claims120 services$24.98 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers12 claims24 services$1.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NASIRA M MALIK MD
Pediatrics
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606
MARTIN HOSPITAL COMPANY, LLC
Family Medicine
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606
ELIZABETH R FRAZIER APRN
Nurse Practitioner
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606
JAHN OSVALDO ACEVEDO-ORTIZ MD
Family Medicine
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606
DR. JOSHUA DREW WHITLEDGE DO
Family Medicine
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606
FINLEY W LESLIE FNP
Nurse Practitioner
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606
KIMBERLY A TILGHMAN-BURCH MD
Pediatrics
1135 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Cox's NPI number?

The NPI number for Fred Cox is 1104830801. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Fred Cox located?

Fred Cox practices at 1135 Broadway St, South Fulton, TN 38257. The listed phone number is (731) 479-2606.

What is Fred Cox's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fred Cox enrolled in Medicare?

Yes. Fred Cox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fred Cox accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Fred Cox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fred Cox affiliated with any hospitals?

According to CMS data, Fred Cox is affiliated with Mercy Health - Lourdes Hospital, Jackson Purchase Medical Center, Jackson-Madison County General Hospital, Volunteer Community Hospital and Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Fred Cox was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.