DR. MICHAEL J COX MD
NPI 1154334860
Internal Medicine - Critical Care Medicine in Saint Louis, MO

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD, SUITE 4006 CRITICAL CARE, SAINT LOUIS, MO 63141(314) 251-6486(314) 251-6486 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael J Cox Md NPPES

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

DR. MICHAEL J COX MD (NPI 1154334860) is an individual critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (R8J98) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Eastern Oklahoma Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1988).

NPPES Registry Identity

NPI1154334860
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MICHAEL J COXCredential: MD
Location Address621 S NEW BALLAS RD, SUITE 4006 CRITICAL CARESaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd, Suite 4006 Critical CareSaint Louis, MO 63141-8232 · (314) 251-6486 · Fax (314) 251-6486
Fax(314) 251-6486
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1988
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1154334860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MO · R8J98
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License R8J98 (MO)
621 S NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 1

Medicaid206914202MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Cox Md 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 ID9830126945
PECOS Enrollment IDI20130606000699
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Cox reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
621 S NEW BALLAS RD, SUITE 4006-B
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 77 clinicians in this Medicare group
Neurology
15740 S OUTER 40 RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 263 clinicians in this Medicare group
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
Physician Assistant
2460 CURTIS ELLIS DRIVE
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 205 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
477 services173 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
163 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK
OwnershipGovernment - Local
CMS Certification Number371337
Location105 Wall StreetPoteau, OK 74953 · Le Flore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

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 Michael Cox's NPI number?

The NPI number for Michael Cox is 1154334860. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Michael Cox located?

Michael Cox practices at 621 S New Ballas Rd Suite 4006 Critical Care, Saint Louis, MO 63141. The listed phone number is (314) 251-6486.

What is Michael Cox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Michael Cox enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Cox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cox reassigns Medicare benefits to 4 organizations: Mercy Clinic Adult Critical Care, LLC (Saint Louis, MO), Mercy Aco Clinical Services Inc (Chesterfield, MO), Mercy Clinic Fort Smith Communities (Fort Smith, AR) and Nhcs Physicians Inc (Rocky Mount, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Cox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cox accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Michael 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 Michael Cox affiliated with any hospitals?

According to CMS data, Michael Cox is affiliated with Eastern Oklahoma Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Cox was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.