DR. NICHOLAS M COX M.D.
NPI 1245681725
Emergency Medicine in Minocqua, WI

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9576 HIGHWAY 70, MINOCQUA, WI 54548(715) 358-1000(715) 358-1156 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2019, Jun 27, 2016 (2 updates tracked since 2016).

About Dr. Nicholas M Cox M.d. NPPES

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

DR. NICHOLAS M COX M.D. (NPI 1245681725) is an individual emergency medicine provider in Minocqua, Wisconsin, licensed in Wisconsin (23186) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Minocqua, and is a graduate of Southern Illinois University School Of Medicine (2016).

NPPES Registry Identity

NPI1245681725
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS M COXCredential: M.D.
Location Address9576 HIGHWAY 70Minocqua, WI 54548-9067
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (153) 875-5117 · Fax (802) 747-3847
Fax(715) 358-1156
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1245681725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 23186
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

9576 HIGHWAY 70, Minocqua, WI 54548

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

Dr. Nicholas M 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 ID6204129885
PECOS Enrollment IDI20230224001014
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services77 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services57 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
39 services39 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Ambulatory Surgical)
9576 HIGHWAY 70
MINOCQUA, WI 54548
Emergency Medicine
9576 HIGHWAY 70
MINOCQUA, WI 54548
Pharmacy
9576 HIGHWAY 70, STE A
MINOCQUA, WI 54548
Emergency Medicine
9576 HIGHWAY 70
MINOCQUA, WI 54548
Non-Pharmacy Dispensing Site
9576 HIGHWAY 70
MINOCQUA, WI 54548
Physician Assistant
9576 HIGHWAY 70
MINOCQUA, WI 54548
Nurse Anesthetist, Certified Registered
9576 HIGHWAY 70
MINOCQUA, WI 54548
Nurse Practitioner
9576 HIGHWAY 70
MINOCQUA, WI 54548

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 Nicholas Cox's NPI number?

The NPI number for Nicholas Cox is 1245681725. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Nicholas Cox located?

Nicholas Cox practices at 9576 Highway 70, Minocqua, WI 54548. The listed phone number is (715) 358-1000.

What is Nicholas Cox's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Cox enrolled in Medicare?

Yes. Nicholas 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 Nicholas Cox accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Sanford Health Plan list Nicholas 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 Nicholas Cox affiliated with any hospitals?

According to CMS data, Nicholas Cox is affiliated with Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Nicholas Cox was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.