James E. Fox, M.D.
Opted out of Medicare from April 2026 to April 2028. Pain Medicine, Interventional Pain Medicine (M.D.) in Knoxville, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 1994). Their prescriptions cost Medicare Part D more than their services did: $428,597 for 3,614 claims, against $209,952 paid for services in 2024. Tonix Medicines, Inc. was the largest of 5 companies reporting payments in 2025, $225.86 in all, mostly food and beverage.
Overview
| NPI | 1952393688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 18, 2005 |
| Last updated in NPPES | Jul 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | MD30702 | TN |
| Rehabilitation Practitioner | 225400000X | MD30702 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2026 – Apr 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 3,478 across 32 procedure codes |
| Paid by Medicare | $209,952 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,614 · 3,646 30-day fills |
|---|---|
| Patients | 391 |
| Total drug cost | $428,597 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Physical Medicine And Rehabilitation |
| Secondary specialties | Interventional Pain Management |
Industry payments (Open Payments)
- 2025$225.86 · 8 payments from 5 companies
- 2024$65.32 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tonix Medicines, Inc. | $84.05 | 1 |
| Collegium Pharmaceutical, Inc. | $77.09 | 4 |
| Globus Medical, Inc. | $29.10 | 1 |
| Vertex Pharmaceuticals Incorporated | $21.19 | 1 |
| Lilly USA, LLC | $14.43 | 1 |
What the 2025 payments were for
- Food and Beverage$225.86 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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