Thomas R. Cox III, MD
NPI 1811930308ActiveIndividual· General Practice· Madisonville, TN
General Practice (MD) in Madisonville, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 1975). Their prescriptions cost Medicare Part D more than their services did: $12,736 for 431 claims, against $2,679 paid for services in 2024. Lilly USA, LLC was the largest of 2 companies reporting payments in 2025, $33.54 in all, mostly food and beverage.
Overview
| NPI | 1811930308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Apr 10, 2021 |
| Certified by provider | Apr 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 09434 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 104 across 30 procedure codes |
| Paid by Medicare | $2,679 |
Part D prescriptions in 2024
| Prescriptions (claims) | 431 · 477 30-day fills |
|---|---|
| Patients | 229 |
| Total drug cost | $12,736 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1975 |
| Medicare specialty | Family Practice |
Medical group
- Chota Community Health ServicesVonore, TN · 19 clinicians
Industry payments (Open Payments)
- 2025$33.54 · 2 payments from 2 companies
- 2024$15.74 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $17.48 | 1 |
| Novo Nordisk Inc | $16.06 | 1 |
What the 2025 payments were for
- Food and Beverage$33.54 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other General Practice providers in Madisonville
- 1962877712