Active NPI 1003057068 Individual Practitioner Male Practitioner

Dr. Alan Cox , MD

General Practice • Johnson City, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Cox, MD is a certified General Practice practicing in Johnson City, TN. With approximately 17 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2009, Dr. Cox delivers high-quality medical care to the local community at 2603 AVONDALE DR.

Dr. Cox accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2603 Avondale Dr

Johnson City, TN 376041902

Telephone 4237678268

Associated Practice Facility / Clinic

🏢 Mpc Facility NPI 1588140503

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Johnson City, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -8.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 34.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Johnson City, TN (202 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (17 Years) 17 Yrs

Johnson City Specialty Average (25.3 Years) 25.3 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	451	54	$89.66	$68.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	126	41	$110.00	$98.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	46	31	$150.00	$122.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	552	73	$86.48	$69.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	127	49	$110.35	$98.72
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	54	43	$150.00	$124.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	688	60	$75.17	$63.90
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	84	37	$84.88	$66.88
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	70	30	$95.00	$84.19
99318 Nursing facility annual assessment, typically 30 minutes	23	23	$185.00	$89.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	20	$150.00	$119.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	844	59	$85.00	$67.87
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	517	60	$50.06	$36.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	222	50	$75.09	$64.74
99318 Nursing facility annual assessment, typically 30 minutes	11	11	$185.00	$90.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	984	89	$49.91	$37.67
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	906	74	$84.96	$69.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	317	82	$75.00	$65.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	129	62	$94.96	$86.47
99318 Nursing facility annual assessment, typically 30 minutes	35	35	$185.00	$91.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	28	25	$55.00	$41.97
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	15	$150.00	$123.41
99306 Initial nursing facility visit, typically 45 minutes per day	13	12	$170.00	$158.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,175	124	$75.00	$65.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	515	119	$95.00	$86.52
99306 Initial nursing facility visit, typically 45 minutes per day	72	52	$170.00	$158.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	50	47	$150.00	$123.45
99318 Nursing facility annual assessment, typically 30 minutes	49	49	$185.00	$90.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,162	192	$75.00	$63.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	544	159	$94.90	$84.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	96	86	$150.00	$120.48
99306 Initial nursing facility visit, typically 45 minutes per day	57	40	$170.00	$154.27
99318 Nursing facility annual assessment, typically 30 minutes	51	51	$185.00	$88.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,048	185	$75.00	$65.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	359	135	$95.00	$86.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	128	96	$149.92	$123.34
99318 Nursing facility annual assessment, typically 30 minutes	31	31	$185.00	$91.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	24	21	$55.00	$42.16
99306 Initial nursing facility visit, typically 45 minutes per day	24	18	$170.00	$157.99

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN 46691

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TN 46691

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TN 46691

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1522714 (TN)

Commercial Insurance / Payer ID Rr Medicare

P01302082 (TN)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2016

Registered at 2603 AVONDALE DR, JOHNSON CITY, TN 376041902 (Tel: 4237678268)

📍

Updated Business Mailing Address January 19, 2016

Registered at 2603 AVONDALE DR, JOHNSON CITY, TN 376041902 (Tel: 4237678268)

👤

Provider Name / Credentials Updated January 19, 2016

Recorded as ALAN COX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Internal Medicine (License #46691 in TN)

🟢

Initial NPI Registration & Enumeration March 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003057068

Entity Type:

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

Enumeration Date: March 20, 2009

Last Update: October 30, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2603 Avondale Dr

Johnson City, TN 376041902

Phone: 4237678268

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.