⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Gary CoxM.D.

Infectious Disease · Durham, NC 27710

NPI: 1396808168

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33

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersHigh cost outlier (population + peer)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

6,710

Total Claims

$5.5M

Drug Cost

212

Beneficiaries

$26K

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Cost per patient outlier+6
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 5,387 Infectious Disease providers

+225%

Cost per patient vs peers

$26K vs $8,010 avg

+36%

Brand preference vs peers

28.9% vs 21.3% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

7.7%

Opioid Rate

519

Opioid Claims

$14K

Opioid Cost

4.2%

Long-Acting Rate

Brand vs Generic

71% generic

Brand: 1,930 claims · $5.1M

Generic: 4,758 claims · $463K

Patient Profile

65

Avg Age

29%

Female

2.10

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About