Physician

Gregory M. Fox, M.D.

According to 2025 Medicare claims, Gregory Fox, M.D. (NPI: 1225070717) practices ophthalmology in the Kansas City, MO-KS market, with the plurality of this provider's patient population coming from Johnson, KS. This provider's primary affiliated billing organization is RETINA ASSOCIATES LLC (NPI: 1609818913; TIN: 481211774) and primary practice location at 66211-2430. Fox is affiliated with the Centrus Health LLC (ACO ID: A5304), participating under the MSSP model.

Fox's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,283 traditional Medicare patients, billed 43,814 HCPCS/CPT codes, and received $4,701,830 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 886 prescription claims across 255 beneficiaries totaling $66,497 in drug costs, led by Prolensa (Bromfenac Sodium). Open Payments data shows 28 records totaling $95,420. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Similarly, Part D prescription costs have changed little. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,502	20,480	$3,804,366
2016	1,482	20,265	$3,780,912
2017	1,549	19,524	$3,771,147
2018	1,562	19,243	$3,987,486
2019	1,571	21,130	$4,287,946
2020	1,340	19,548	$4,152,584
2021	1,380	18,990	$4,075,018
2022	1,311	18,587	$3,966,142
2023	1,315	27,397	$4,107,456
2024	1,283	43,814	$4,701,830

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	221	823	$58,005
2016	232	903	$75,832
2017	239	963	$94,482
2018	250	895	$79,712
2019	250	918	$74,804
2020	236	853	$71,458
2021	228	819	$78,116
2022	203	752	$63,563
2023	187	745	$62,794
2024	255	886	$66,497

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
67028	Injection of drug into eye	512	2,511	$98
92014	Established patient complete exam of visual system	439	529	$78
92012	Established patient problem focused exam of visual system	369	434	$69
92134	Imaging of retina	1,108	3,493	$31
92250	Photography of the retina	320	352	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolensa	Bromfenac Sodium	39	1,262	$13,537
Prednisolone Acetate	Prednisolone Acetate	230	9,283	$9,666
Lumigan	Bimatoprost	16	670	$5,394
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	42	1,433	$5,213
Ketorolac Tromethamine	Ketorolac Tromethamine	106	4,425	$2,277

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	25	$486	Regeneron Healthcare Solutions, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	3	$94,934	EyePoint Pharmaceuticals US, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Gregory M. Fox, M.D.?

Tedicare shows public-source Medicare data for Gregory M. Fox, M.D. (NPI 1225070717), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Gregory M. Fox, M.D. have ACO affiliation data?

Gregory M. Fox, M.D. is shown with ACO affiliation data for Centrus Health LLC (MSSP, ACO ID A5304).

What billing organization is linked to Gregory M. Fox, M.D.?

Gregory M. Fox, M.D. is linked to RETINA ASSOCIATES LLC (billing NPI 1609818913) in the available physician profile data.

Does Gregory M. Fox, M.D. have Open Payments data?

Gregory M. Fox, M.D. has 28 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.