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STEPHEN ZACHARY COX DO
NPI 1063904316
Psychiatry & Neurology - Neurology in Princeton, WV

Active since June 02, 2018PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
508 NEW HOPE RD STE 7, PRINCETON, WV 24740(304) 431-7200 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Aug 23, 2022, Aug 15, 2022 (3 updates tracked since 2022).

About Stephen Zachary Cox Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN ZACHARY COX DO (NPI 1063904316) is an individual neurology provider in Princeton, West Virginia, licensed in Colorado (DR.0068593) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063904316
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSTEPHEN ZACHARY COXCredential: DO
Location Address508 NEW HOPE RD STE 7Princeton, WV 24740-2265
Mailing Address4675 South Monaco St, Apt 102Denver, CO 80237 · (804) 837-4221
Phone(304) 431-7200
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 2, 2018
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1063904316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CO · DR.0068593
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
508 NEW HOPE RD STE 7, Princeton, WV 24740
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11250 E Marshall StRichmond, VA 23298-5051 · Phone (804) 828-9726
Location 213001 E 17th Place, Fitzsimmons Building (Bldg 500)Aurora, CO 80045 · Phone (720) 848-2080 · Fax (720) 848-2106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Zachary Cox Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961750955
PECOS Enrollment IDI20230810001579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
42 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
34 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORDON F PRESCOTT MD
Specialist
508 NEW HOPE RD STE 7
PRINCETON, WV 24740
Mercer County (304) 431-7200
DR. CUDDALORE P VASUDEVAN M. D.
Internal Medicine (Pulmonary Disease)
508 NEW HOPE RD STE 7
PRINCETON, WV 24740
Mercer County (304) 425-0403
EMEKA MICHAEL EZIRI MD
Internal Medicine (Pulmonary Disease)
508 NEW HOPE RD STE 7
PRINCETON, WV 24740
Mercer County (304) 431-7200
WILLIAM A MERVA MD
Psychiatry & Neurology (Neurology)
508 NEW HOPE RD STE 7
PRINCETON, WV 24740
Mercer County (304) 431-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Cox's NPI number?

The NPI number for Stephen Cox is 1063904316. It was assigned to this individual provider in the NPPES registry on June 2, 2018.

Where is Stephen Cox located?

Stephen Cox practices at 508 New Hope Rd Ste 7, Princeton, WV 24740. The listed phone number is (304) 431-7200.

What is Stephen Cox's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stephen Cox enrolled in Medicare?

Yes. Stephen Cox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Cox accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Stephen Cox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Cox affiliated with any hospitals?

According to CMS data, Stephen Cox is affiliated with Princeton Community Hospital and Raleigh General Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Cox was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.