Physician

Timothy William Cox, MD

According to 2025 Medicare claims, Timothy Cox, MD (NPI: 1265000574) practices family practice in the Paducah, KY-IL market, with the plurality of this provider's patient population coming from Massac, IL. This provider's primary affiliated billing organization is BAPTIST HEALTH MEDICAL GROUP INC (NPI: 1922401611; TIN: 205497203) and primary practice location at 62960-2433. Cox is affiliated with the IRCCO (ACO ID: A2619), Baptist Health Care Partners, LLC (ACO ID: A2975), and Quality Health Partners, LLC (ACO ID: A5553), participating under the MSSP model.

Cox's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 486 traditional Medicare patients, billed 1,493 HCPCS/CPT codes, and received $87,788 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 2,510 prescription claims across 614 beneficiaries totaling $272,159 in drug costs, led by Jardiance (Empagliflozin). Open Payments data shows 12 records totaling $243. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$44K$88K2024 Medicare payment: $87,788 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20244861,493$87,788

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$136K$272K2021 Drug cost: $6,042 (USD; Tot_Drug_Cst)2022 Drug cost: $35,527 (USD; Tot_Drug_Cst)2023 Drug cost: $76,737 (USD; Tot_Drug_Cst)2024 Drug cost: $272,159 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211584$6,042
202253338$35,527
202384602$76,737
20246142,510$272,159

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7979$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more429539$94
90662Influenza vaccine split virus, preservative free100100$82
G0008Administration of influenza virus vaccine104104$31
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's317381$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin492,490$48,824
OzempicSemaglutide381,322$44,598
TrulicityDulaglutide19756$25,147
EliquisApixaban23810$15,852
JanuviaSitagliptin Phosphate11810$14,550

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$243Novo Nordisk Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Timothy William Cox, MD?

Tedicare shows public-source Medicare data for Timothy William Cox, MD (NPI 1265000574), 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 Timothy William Cox, MD have ACO affiliation data?

Timothy William Cox, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), Baptist Health Care Partners, LLC (MSSP, ACO ID A2975), and Quality Health Partners, LLC (MSSP, ACO ID A5553).

What billing organization is linked to Timothy William Cox, MD?

Timothy William Cox, MD is linked to BAPTIST HEALTH MEDICAL GROUP INC (billing NPI 1922401611) in the available physician profile data.

Does Timothy William Cox, MD have Open Payments data?

Timothy William Cox, MD has 12 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.