Active NPI 1811930308 Individual Practitioner Male Practitioner

Dr. Thomas R Cox , MD

General Practice • Madisonville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Cox, MD is a certified General Practice practicing in Madisonville, TN. With approximately 51 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1975, Dr. Cox delivers high-quality medical care to the local community at 4798 NEW HIGHWAY 68.

Dr. Cox is affiliated with Chota Community Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, blood test, comprehensive group of blood chemicals, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4798 New Highway 68

Madisonville, TN 373541287

Telephone 4234422622

Associated Practice Facility / Clinic

🏢 Chota Community Health Services Facility NPI 1548427586

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Madisonville, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs Matches City Avg

City Avg: 51.0 Yrs

State Avg: 34.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Madisonville, TN (202 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (51 Years) 51 Yrs

Madisonville Specialty Average (51.0 Years) 51.0 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
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	17	17	$125.00	$50.28
80053 Blood test, comprehensive group of blood chemicals	12	12	$64.00	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$36.00	$7.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	11	$125.00	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	91	56	$34.00	$7.69
80053 Blood test, comprehensive group of blood chemicals	84	51	$64.00	$10.45
84443 Blood test, thyroid stimulating hormone (TSH)	64	44	$75.00	$16.62
80061 Blood test, lipids (cholesterol and triglycerides)	50	40	$73.00	$13.23
83036 Hemoglobin A1C level	40	28	$52.00	$9.13
84439 Thyroxine (thyroid chemical), free	27	22	$60.00	$8.93
81002 Urinalysis, manual test	22	19	$15.00	$3.43
82043 Urine microalbumin (protein) level	17	16	$62.00	$5.45
83540 Iron level	15	13	$27.00	$6.39
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	14	$77.00	$50.97
83550 Iron binding capacity	14	12	$31.00	$8.63
82607 Cyanocobalamin (vitamin B-12) level	13	13	$70.00	$14.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80053 Blood test, comprehensive group of blood chemicals	149	72	$64.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	146	70	$34.00	$7.77
84443 Blood test, thyroid stimulating hormone (TSH)	84	55	$75.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	77	54	$73.00	$13.39
83036 Hemoglobin A1C level	49	28	$52.00	$9.71
83550 Iron binding capacity	41	27	$31.00	$8.74
82043 Urine microalbumin (protein) level	41	20	$62.00	$5.78
83540 Iron level	40	25	$27.00	$6.47
84439 Thyroxine (thyroid chemical), free	38	28	$60.00	$9.02
71046 X-ray of chest, 2 views	30	16	$90.00	$20.71
82607 Cyanocobalamin (vitamin B-12) level	29	19	$70.00	$15.08
81002 Urinalysis, manual test	21	20	$15.00	$3.48
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	18	17	$77.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80053 Blood test, comprehensive group of blood chemicals	195	85	$64.00	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	191	84	$34.00	$7.71
84443 Blood test, thyroid stimulating hormone (TSH)	100	65	$72.40	$16.68
80061 Blood test, lipids (cholesterol and triglycerides)	95	61	$73.00	$13.27
83036 Hemoglobin A1C level	76	42	$52.00	$9.64
83540 Iron level	40	24	$26.13	$6.42
84439 Thyroxine (thyroid chemical), free	39	32	$52.82	$8.95
82043 Urine microalbumin (protein) level	39	28	$62.00	$5.74
83550 Iron binding capacity	35	22	$28.71	$8.69
81002 Urinalysis, manual test	33	25	$15.00	$3.45
82607 Cyanocobalamin (vitamin B-12) level	24	16	$67.38	$14.98
71046 X-ray of chest, 2 views	20	14	$90.00	$19.53
80305 Testing for presence of drug, read by direct observation	16	13	$41.00	$12.55
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	11	$50.00	$7.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80053 Blood test, comprehensive group of blood chemicals	155	74	$64.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	150	74	$34.00	$8.46
80061 Blood test, lipids (cholesterol and triglycerides)	83	60	$73.00	$14.58
83036 Hemoglobin A1C level	67	38	$52.00	$10.57
84443 Blood test, thyroid stimulating hormone (TSH)	56	35	$55.00	$18.30
82043 Urine microalbumin (protein) level	50	29	$62.00	$6.29
83540 Iron level	42	27	$20.00	$7.05
83550 Iron binding capacity	37	25	$15.00	$9.52
84439 Thyroxine (thyroid chemical), free	32	24	$20.00	$9.82
82607 Cyanocobalamin (vitamin B-12) level	29	21	$49.00	$16.41
71046 X-ray of chest, 2 views	24	16	$90.00	$18.68
81002 Urinalysis, manual test	21	18	$15.00	$3.41
82728 Ferritin (blood protein) level	15	12	$38.00	$14.85
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$50.00	$7.65
80305 Testing for presence of drug, read by direct observation	11	11	$25.00	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	214	95	$34.00	$9.36
80053 Blood test, comprehensive group of blood chemicals	212	93	$64.00	$12.72
80061 Blood test, lipids (cholesterol and triglycerides)	116	70	$73.00	$15.93
83036 Hemoglobin A1C level	83	47	$52.00	$11.33
85610 Blood test, clotting time	72	12	$20.00	$4.75
84443 Blood test, thyroid stimulating hormone (TSH)	70	48	$55.00	$20.33
82043 Urine microalbumin (protein) level	65	43	$62.00	$6.90
83540 Iron level	54	35	$20.00	$7.57
82607 Cyanocobalamin (vitamin B-12) level	45	30	$49.00	$18.24
83550 Iron binding capacity	43	30	$15.00	$10.57
71046 X-ray of chest, 2 views	42	32	$90.00	$17.14
84439 Thyroxine (thyroid chemical), free	39	28	$20.00	$10.91
81002 Urinalysis, manual test	33	26	$15.00	$3.41
82728 Ferritin (blood protein) level	26	21	$38.00	$16.49
80305 Testing for presence of drug, read by direct observation	20	13	$25.00	$13.19
84550 Uric acid level, blood	19	15	$18.00	$5.47
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	17	17	$33.00	$19.25
81000 Manual urinalysis test with examination using microscope, non-automated	14	11	$20.00	$3.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$50.00	$7.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80053 Blood test, comprehensive group of blood chemicals	255	150	$64.00	$10.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	254	151	$34.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	142	113	$73.00	$12.10
83036 Hemoglobin A1C level	114	69	$52.00	$13.05
84443 Blood test, thyroid stimulating hormone (TSH)	96	77	$55.00	$22.59
82607 Cyanocobalamin (vitamin B-12) level	83	63	$49.00	$20.27
85610 Blood test, clotting time	81	18	$20.00	$5.28
81002 Urinalysis, manual test	73	53	$15.00	$3.43
82043 Urine microalbumin (protein) level	65	49	$62.00	$3.15
83540 Iron level	59	41	$20.00	$8.70
83550 Iron binding capacity	57	41	$15.00	$11.75
71020 X-ray of chest, 2 views, front and side	43	30	$90.00	$14.28
82746 Folic acid level	34	31	$9.00	$8.82
82728 Ferritin (blood protein) level	33	22	$38.00	$18.33
84439 Thyroxine (thyroid chemical), free	29	20	$20.00	$12.12
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	28	27	$50.00	$7.14
84550 Uric acid level, blood	22	18	$18.00	$3.03
80305 Testing for presence of drug, read by direct observation	18	17	$25.00	$14.66
81000 Manual urinalysis test with examination using microscope, non-automated	16	14	$20.00	$4.26
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	14	13	$47.00	$17.40
77080 Dxa bone density measurement of hip, pelvis, spine	13	12	$252.00	$34.61
92250 Photography of the retina	11	11	$64.00	$37.26

Medical Specialties & State Licenses

CMS Verified: 2021-04-10

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN 09434

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3811317 (TN)

Medicaid State Provider ID

3891186 (TN)

Commercial Insurance / Payer ID Blue Cross Blue Shield #

3039003 (TN)

Hospital & Practice Group Affiliations

Chota Community Health Services

1206 Hwy 411, Vonore, TN 378852455

Phone: 4238847271

Secondary Practice Locations

1206 Highway 411

Vonore, TN 378852455

Phone: 4238847271

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. William Davies , MD

Family Medicine

NPI 1033790613

Doctor of Medicine (M.D.)

Tracy Stratton

Nurse Practitioner

NPI 1043532419

Samantha Burns , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043870157

Advanced Practice Registered Nurse

Mazie Bivens

Nurse Practitioner - Family

NPI 1114809738

Laura Vacheresse , LCSW

Social Worker - Clinical

NPI 1144610304

Licensed Clinical Social Worker

Shelly Bingham , LCSW

Social Worker - Clinical

NPI 1154507721

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 10, 2021

Registered at 4798 NEW HIGHWAY 68, MADISONVILLE, TN 373541287 (Tel: 4234422622)

✅

NPI Profile Active July 09, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2010

Registered at 1206 HIGHWAY 411, VONORE, TN 378852455 (Tel: 4238847271)

📍

Updated Business Mailing Address July 09, 2010

Registered at 1206 HIGHWAY 411, VONORE, TN 378852455 (Tel: 4238847271)

👤

Provider Name / Credentials Updated July 09, 2010

Recorded as THOMAS COX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2010

General Practice (License #09434 in TN)

🟢

Initial NPI Registration & Enumeration June 13, 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. Thomas Cox. 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: 1811930308

Entity Type:

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

Enumeration Date: June 13, 2006

Last Update: April 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1206 Highway 411

Vonore, TN 378852455

Phone: 4238847271

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.