MRS. KIMBERLY ANN COX MD
NPI 1285618009
Anesthesiology in Wakefield, RI

NPI Status: Active since December 05, 2005

Contact Information

100 KENYON AVE
WAKEFIELD, RI
ZIP 02879
Phone: (401) 782-8000

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  • Individual
  • Female
  • Years of Experience 31
  • Anesthesiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About KIMBERLY COX

This page provides the complete NPI Profile along with additional information for Kimberly Cox, an anesthesiologist established in Wakefield, Rhode Island with a medical specialization in Anesthesiology and more than 31 years of experience. She graduated from Hahneman Medical College Of The Pacific in 1995. The healthcare provider is registered in the NPI registry with number 1285618009 assigned on December 2005. The practitioner's primary taxonomy code is 207L00000X with license number MD11710 (RI). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1285618009
Provider Name
MRS. KIMBERLY ANN COX MD
Gender
Female
Entity Type
Individual
Location Address
100 KENYON AVE WAKEFIELD, RI 02879
Location Phone
(401) 782-8000
Mailing Address
6 RUNDEL PARK DORCHESTER CENTER, MA 02124
Mailing Phone
(617) 282-3522
Medical School Name
HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
Graduation Year
1995
Is Sole Proprietor?
Yes
Enumeration Date
12-05-2005
Last Update Date
07-08-2007
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An anesthesiologist like Kimberly Cox manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD11710
License State
RI
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Medicare Participation & PECOS Enrollment Status

Kimberly Cox is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kimberly Cox is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6406833250

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040630000702

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 100% 999
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kimberly Cox is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SIGNATURE HEALTHCARE BROCKTON HOSPITAL680 CENTER STREET
BROCKTON, MA 02302
(508) 941-7000Acute Care Hospitals

Reviews for MRS. KIMBERLY ANN COX MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285618009, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 1 + 6 + 0 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1285618009.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine (Emergency Medical Services)
100 KENYON AVE
WAKEFIELD, RI 02879
General Acute Care Hospital
100 KENYON AVE
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879
Emergency Medicine (Emergency Medical Services)
100 KENYON AVE
WAKEFIELD, RI 02879
Emergency Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Family Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Nurse Practitioner
100 KENYON AVE
WAKEFIELD, RI 02879
Internal Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Emergency Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879
Nurse Practitioner
100 KENYON AVE
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879
Specialist
100 KENYON AVE
WAKEFIELD, RI 02879
Pathology (Anatomic Pathology & Clinical Pathology)
100 KENYON AVE, SOUTH COUNTY HOSPITAL PATHOLOGISTS
WAKEFIELD, RI 02879
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
100 KENYON AVE
WAKEFIELD, RI 02879
Pathology (Anatomic Pathology & Clinical Pathology)
100 KENYON AVE, SOUTH COUNTY HOSPITAL PATHOLOGISTS
WAKEFIELD, RI 02879
Anesthesiology
100 KENYON AVE
WAKEFIELD, RI 02879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285618009, enumerated as an "individual" on December 05, 2005.

The provider is located at 100 KENYON AVE WAKEFIELD, RI 02879 and the phone number is (401) 782-8000.

Anesthesiology with taxonomy code 207L00000X.

Kimberly Cox is affiliated with: SIGNATURE HEALTHCARE BROCKTON HOSPITAL.