MR. PHILIP COX PA-C
NPI 1073922704
Physician Assistant - Surgical in Utica, NY

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
1903 SUNSET AVE, UTICA, NY 13502(315) 624-8150(315) 797-1537 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Philip Cox Pa-c NPPES

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

MR. PHILIP COX PA-C (NPI 1073922704) is an individual surgical provider in Utica, New York, licensed in New York (017244) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other.

NPPES Registry Identity

NPI1073922704
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. PHILIP COXCredential: PA-C
Location Address1903 SUNSET AVEUtica, NY 13502-5617
Mailing Address1903 Sunset AveUtica, NY 13502-5617 · (315) 624-8150 · Fax (315) 797-1537
Fax(315) 797-1537
Sole ProprietorNo
Medical School CMSOther
Enumeration DateAugust 6, 2014
Last NPPES UpdateFebruary 12, 2015
NPI 1073922704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 017244
1903 SUNSET AVE, Utica, NY 13502

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

Mr. Philip Cox Pa-c 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 ID2668781220
PECOS Enrollment IDI20151021002107
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 5

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services47 patients
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.
33 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
28%79 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%104 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
5%104 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%104 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Physician Assistant
1903 SUNSET AVE
UTICA, NY 13502
Nurse Practitioner
1903 SUNSET AVE
UTICA, NY 13502
Physician Assistant
1903 SUNSET AVE
UTICA, NY 13502
1903 SUNSET AVE
UTICA, NY 13502

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 Philip Cox's NPI number?

The NPI number for Philip Cox is 1073922704. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Philip Cox located?

Philip Cox practices at 1903 Sunset Ave, Utica, NY 13502. The listed phone number is (315) 624-8150.

What is Philip Cox's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Philip Cox enrolled in Medicare?

Yes. Philip 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.

Is Philip Cox affiliated with any hospitals?

According to CMS data, Philip Cox is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Philip Cox was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.