DR. DANIEL EARL COX MD
NPI 1205862117
Surgery - Vascular Surgery in O'fallon, IL

Q: What is Daniel Cox's NPI number?

The NPI number for Daniel Cox is 1205862117. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Daniel Cox's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Cox was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

THREE ST. ELIZABETH'S BLVD., STE. 2800, O'FALLON, IL 62269(618) 233-6044(618) 233-5195 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Nov 6, 2017, Jun 20, 2017 (3 updates tracked since 2017).

On this page

About Dr. Daniel Earl Cox Md NPPES

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

DR. DANIEL EARL COX MD (NPI 1205862117) is an individual vascular surgery provider in O'fallon, Illinois, licensed in Missouri (2007029096) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1205862117

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. DANIEL EARL COXCredential: MD

Location AddressTHREE ST. ELIZABETH'S BLVD., STE. 2800O'fallon, IL 62269-1099

Mailing AddressThree St. Elizabeth's Blvd., Ste. 2800O'fallon, IL 62269-1099 · (618) 233-6044 · Fax (618) 233-5195

Phone(618) 233-6044

Fax(618) 233-5195

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 23, 2006

Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1205862117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in MO · 2007029096✔ Licensed in IL · 036-115877

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

THREE ST. ELIZABETH'S BLVD., O'fallon, IL 62269

Open in Google Maps ↗

Secondary Practice Location 1

Location 1927 Broadway StQuincy, IL 62301-2719 · Phone (217) 277-8960 · Fax (217) 223-4692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Daniel Earl 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 ID143233999

PECOS Enrollment IDI20060720000132

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 28

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.

417 services351 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

288 services284 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

230 services215 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

229 services212 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.

186 services186 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

166 services162 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.

119 services50 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

78 services71 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

64 services58 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

57 services43 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.

50 services50 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

45 services43 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

45 services44 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

43 services36 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

43 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

41 services41 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

29 services29 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch 36246

This procedure involves the placement of a tube into an artery in your abdomen, pelvis, or leg. The tube is inserted into a secondary branch of the main artery. This helps doctors access the artery to diagnose or treat certain conditions.

25 services23 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

24 services23 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.

24 services24 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

23 services19 patients

Balloon dilation of artery of leg, initial vessel 37228

Balloon dilation of the artery of the leg is a procedure to improve blood flow. A small balloon is inserted into the leg artery and inflated to widen the vessel, allowing better circulation. This is typically the first vessel treated.

14 services14 patients

Ultrasound of aorta, vena cava, groin vessels or bypass grafts 93979

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps doctors check for issues like blockages or enlargements. It's non-invasive and painless.

14 services13 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

13 services11 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

12 services11 patients

Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist 34705

This procedure involves repairing the aorta (main blood vessel) below the kidneys and the artery in the groin using a graft. The graft is a special tube that replaces the damaged part of the blood vessel. A radiologist will review the procedure to ensure accuracy.

12 services12 patients

Exposure of thigh artery for insertion of prosthesis 34812

This procedure involves revealing the artery in your thigh to place a synthetic device, a prosthesis. It's often performed to improve blood flow or replace a damaged section of the artery. The goal is to enhance your overall health.

12 services12 patients

Balloon dilation of artery of leg 37224

Balloon dilation of the leg artery is a procedure to improve blood flow. A tiny balloon is inserted into a narrowed artery, then inflated to widen the artery. This helps increase blood circulation to the leg. It's usually done under local anesthesia.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140137

Location200 Health Care DrGreenville, IL 62246 · Bond County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141336

Location12866 Troxler AvenueHighland, IL 62249 · Madison County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

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.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651

DME-Other DME · category DE000N

1 supplier14 claims14 services$885.67 avg. paid by Medicare

Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667

DME-Other DME · category DE000N

1 supplier14 claims27 services$313.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES

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

NANCY WIEBKE APRN

Nurse Practitioner (Adult Health)

THREE ST. ELIZABETH'S BLVD., STE. 2800
O'FALLON, IL 62269

St. Clair County (618) 233-6044

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 Daniel Cox's NPI number?

The NPI number for Daniel Cox is 1205862117. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Daniel Cox located?

Daniel Cox practices at Three St. Elizabeth's Blvd. Ste. 2800, O'fallon, IL 62269. The listed phone number is (618) 233-6044.

What is Daniel Cox's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Daniel Cox enrolled in Medicare?

Yes. Daniel 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 Daniel Cox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Daniel 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 Daniel Cox affiliated with any hospitals?

According to CMS data, Daniel Cox is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital, Hshs St Elizabeth's Hospital, St Joseph's Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Cox was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.