WALTER R COX M.D.
NPI 1093711145
Obstetrics & Gynecology in Monongahela, PA

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
1163 COUNTRY CLUB RD, LOMBARDI CENTER STE. 101, MONONGAHELA, PA 15063(724) 258-2229 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walter R Cox M.d. NPPES

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

WALTER R COX M.D. (NPI 1093711145) is an individual obstetrics & gynecology provider in Monongahela, Pennsylvania, licensed in Pennsylvania (MD039092E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1986).

NPPES Registry Identity

NPI1093711145
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameWALTER R COXCredential: M.D.
Location Address1163 COUNTRY CLUB RD, LOMBARDI CENTER STE. 101Monongahela, PA 15063-1013
Mailing Address1163 Country Club Rd, Lombardi Center Ste. 101Monongahela, PA 15063-1013 · (724) 258-2229
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986
Enumeration DateJune 23, 2005
Last NPPES UpdateMarch 14, 2014
NPI 1093711145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD039092E
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1163 COUNTRY CLUB RD, Monongahela, PA 15063

Other Identifiers 6

Medicare PIN596008PA
Other596008PA · Highmark
Medicare UPINE36495PA
Medicaid0011941880003PA
Other116490PA · Unison
Other1514263PA · Gateway Health Plans

Accepted 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

Walter R Cox M.d. 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 ID4789611013
PECOS Enrollment IDI20050721000225
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 3

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 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.
31 services20 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15063 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Internal Medicine (Medical Oncology)
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Dietitian, Registered (Nutrition, Metabolic)
1163 COUNTRY CLUB RD, CD&E
MONONGAHELA, PA 15063
Social Worker
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Pharmacy (Community/Retail Pharmacy)
1163 COUNTRY CLUB RD, ANTHONY M LOMBARDI BUILDING
MONONGAHELA, PA 15063
Internal Medicine (Hematology & Oncology)
1163 COUNTRY CLUB RD, MELENYZER PAVILION
MONONGAHELA, PA 15063
Physician Assistant (Medical)
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Nurse Practitioner (Family)
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063

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 Walter Cox's NPI number?

The NPI number for Walter Cox is 1093711145. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Walter Cox located?

Walter Cox practices at 1163 Country Club Rd Lombardi Center Ste. 101, Monongahela, PA 15063. The listed phone number is (724) 258-2229.

What is Walter Cox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Walter Cox enrolled in Medicare?

Yes. Walter 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 Walter Cox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Walter 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 Walter Cox affiliated with any hospitals?

According to CMS data, Walter Cox is affiliated with Penn Highlands Mon Valley.

When was this NPI record last updated?

The NPPES record for Walter Cox was last updated on March 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.