Active NPI 1073526596 Individual Practitioner Male Practitioner

Dr. Mark Alan Fox , MD

Surgery • Crossville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Fox, MD is a certified Surgery practicing in Crossville, TN. With approximately 40 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1986, Dr. Fox delivers high-quality medical care to the local community at 100 LANTANA RD.

Dr. Fox is affiliated with Covenant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk, diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Lantana Rd
Suite 202

Crossville, TN 385551903

Telephone 9314845141

Fax 9314845620

Associated Practice Facility / Clinic

🏢 John Smith Professional Pharmacy, Inc. Facility NPI 1669412144

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Crossville, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +7.4 yrs vs City Avg

City Avg: 32.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Crossville, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (40 Years) 40 Yrs

Crossville Specialty Average (32.6 Years) 32.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$196.00	$102.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	49	49	$542.00	$159.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$295.00	$154.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$361.00	$95.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	30	$543.00	$155.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$228.00	$116.98
49507 Repair of trapped groin hernia patient age 5 years or older	29	29	$1650.00	$528.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$749.00	$202.34
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$160.00	$83.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$99.00	$51.31
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$53.00	$16.43
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1455.00	$289.51
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$543.00	$144.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$370.00	$160.49
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$130.00	$66.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	51	$361.00	$100.51
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	50	50	$538.96	$159.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	48	$749.00	$221.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$295.00	$152.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	43	43	$543.00	$165.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$196.00	$102.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$228.00	$119.09
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$160.00	$82.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	26	$408.00	$108.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$99.00	$52.31
49507 Repair of trapped groin hernia patient age 5 years or older	22	22	$1650.00	$534.85
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$543.00	$152.88
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$67.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$53.00	$16.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1455.00	$303.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	65	65	$542.00	$161.43
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	55	$369.39	$95.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	56	$762.09	$231.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$295.00	$156.19
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	48	47	$543.00	$162.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$196.00	$103.99
45378 Diagnostic exam of large bowel using a flexible endoscope	41	41	$556.61	$142.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$227.15	$120.05
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$159.10	$84.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$99.00	$52.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$408.00	$103.76
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$1455.00	$308.30
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$53.00	$17.36
49507 Repair of trapped groin hernia patient age 5 years or older	16	16	$1650.00	$539.78
47562 Removal of gallbladder using an endoscope	12	12	$1857.00	$606.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	65	$361.00	$98.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$300.00	$157.41
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	62	62	$542.00	$168.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	52	$749.00	$240.11
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$132.00	$85.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	39	39	$543.00	$168.51
45378 Diagnostic exam of large bowel using a flexible endoscope	35	34	$543.00	$153.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	33	$408.00	$113.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$195.00	$105.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$195.00	$122.31
49507 Repair of trapped groin hernia patient age 5 years or older	24	24	$1650.00	$544.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$79.00	$52.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$252.00	$128.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1455.00	$312.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$370.00	$189.29
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$126.27	$68.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	79	79	$542.00	$164.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$195.00	$100.56
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	61	$361.00	$104.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$300.00	$152.99
45378 Diagnostic exam of large bowel using a flexible endoscope	41	40	$543.00	$166.05
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$132.00	$69.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$195.00	$102.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$79.00	$42.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$749.00	$246.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$408.00	$116.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$543.00	$165.83
49507 Repair of trapped groin hernia patient age 5 years or older	18	18	$1650.00	$554.15
45380 Biopsy of large bowel using an endoscope	14	14	$591.00	$117.64
43249 Balloon dilation of esophagus using an endoscope	13	13	$452.00	$131.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$252.00	$132.25
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1455.00	$309.49
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$135.00	$71.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$53.00	$18.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$195.00	$100.09
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	88	$361.00	$100.97
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	73	73	$543.00	$179.91
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$132.00	$69.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	53	$79.00	$42.22
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$135.00	$71.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	41	$408.00	$120.45
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$543.00	$176.03
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$749.00	$248.77
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	32	32	$1455.00	$309.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	12	$133.00	$69.80
49507 Repair of trapped groin hernia patient age 5 years or older	17	17	$1650.00	$551.74
47562 Removal of gallbladder using an endoscope	16	16	$1857.00	$620.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$370.00	$194.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$300.00	$155.38
45380 Biopsy of large bowel using an endoscope	14	14	$591.00	$170.32
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$662.00	$199.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$252.00	$131.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$195.00	$102.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$195.00	$100.43
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$135.00	$69.91
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	69	69	$567.23	$177.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	55	$79.00	$40.77
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	51	$526.88	$97.98
45378 Diagnostic exam of large bowel using a flexible endoscope	46	46	$712.83	$176.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$195.00	$99.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	37	$626.29	$117.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$927.30	$246.48
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	25	$1775.92	$319.64
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$132.00	$68.22
49507 Repair of trapped groin hernia patient age 5 years or older	24	24	$1628.63	$543.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$210.75	$130.00
47562 Removal of gallbladder using an endoscope	16	16	$1900.50	$611.86
43249 Balloon dilation of esophagus using an endoscope	15	15	$472.27	$143.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$36.00	$20.02
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$658.36	$156.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$328.00	$192.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	107	107	$135.00	$68.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$195.00	$98.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	73	$195.00	$97.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	79	79	$619.00	$177.47
45378 Diagnostic exam of large bowel using a flexible endoscope	74	74	$1101.00	$178.61
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	67	$831.00	$100.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	51	$79.00	$40.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$1482.00	$246.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	40	$961.00	$126.31
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	33	33	$3285.00	$308.72
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$132.00	$68.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	14	$133.00	$68.56
49507 Repair of trapped groin hernia patient age 5 years or older	25	25	$1593.00	$541.47
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	23	23	$642.00	$174.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$832.00	$246.05
47562 Removal of gallbladder using an endoscope	21	21	$2031.00	$587.03
17110 Destruction of up to 14 skin growths	17	15	$303.00	$101.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$36.00	$18.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$370.00	$191.91
45380 Biopsy of large bowel using an endoscope	14	14	$1315.00	$194.11
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$301.00	$162.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$252.00	$129.44
49587 Repair of trapped hernia at navel patient age 5 years or older	12	12	$1291.00	$402.84
43249 Balloon dilation of esophagus using an endoscope	12	11	$490.00	$141.71
19307 Removal of breast and underarm lymph nodes	11	11	$3217.00	$1072.99
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$516.00	$111.95

Medical Specialties & State Licenses

CMS Verified: 2021-06-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN MD18036

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3058927 (TN)

Commercial Insurance / Payer ID Blue Cross

123414 (TN)

Commercial Insurance / Payer ID Railroad Medicare

020015278

Hospital & Practice Group Affiliations

Covenant Medical Group Inc

111 Clyde St, Loudon, TN 377741600

Phone: 8654581554

Covenant Medical Group Inc

100 Lantana Rd, Crossville, TN 385551903

Phone: 9314845141

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Dr. Bruce Raffel , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1023029469

Doctor of Medicine (M.D.)

Dr. Douglas Carpenter , MD

Family Medicine

NPI 1093818635

Doctor of Medicine (M.D.)

Dr. Tamara Collins , MD

Internal Medicine

NPI 1104971308

Doctor of Medicine (M.D.)

Elena Cravens , APN-NP

Nurse Practitioner - Family

NPI 1134549157

APNNP

Robbie Smith , NP

Nurse Practitioner - Family

NPI 1144625450

Nurse Practitioner

Dr. Robert Nichols , MD

Internal Medicine

NPI 1154332591

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 11, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2009

Registered at 100 LANTANA RD, SUITE 202, CROSSVILLE, TN 385551903 (Tel: 9314845141)

📍

Updated Business Mailing Address December 11, 2009

Registered at 100 LANTANA RD, SUITE 202, CROSSVILLE, TN 385551903 (Tel: 9314845141)

👤

Provider Name / Credentials Updated December 11, 2009

Recorded as MARK FOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2009

Surgery (License #MD18036 in TN)

🟢

Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mark Fox. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1073526596

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 14, 2006

Last Update: June 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Lantana Rd, Suite 202

Crossville, TN 385551903

Phone: 9314845141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.