1. Home
  2. Directory
  3. Virginia
  4. Blacksburg
  5. Hospitalist
  6. NPI Profile

DR. WILLIAM SEAN COX D.O.
NPI 1285827485
Hospitalist in Blacksburg, VA

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3700 S MAIN ST, BLACKSBURG, VA 24060(540) 951-3020(866) 700-3047 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William Sean Cox D.o. NPPES

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

DR. WILLIAM SEAN COX D.O. (NPI 1285827485) is an individual hospitalist provider in Blacksburg, Virginia, licensed in Virginia (0102202067) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2004).

NPPES Registry Identity

NPI1285827485
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. WILLIAM SEAN COXCredential: D.O.
Location Address3700 S MAIN STBlacksburg, VA 24060-7017
Mailing Address3698 S Main StBlacksburg, VA 24060-7015 · (540) 951-3020 · Fax (866) 700-3047
Phone(540) 951-3020
Fax(866) 700-3047
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2004
Enumeration DateAugust 21, 2007
✔ NPI 1285827485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in VA · 0102202067
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
3700 S MAIN ST, Blacksburg, VA 24060
Open in Google Maps ↗

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. William Sean Cox D.o. 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 ID7416033154
PECOS Enrollment IDI20080321000011
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 6

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.

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.
308 services148 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.
120 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
103 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services74 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.
58 services58 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.
26 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490110
Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County
Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490116
Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24060 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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
Quality100
Improvement Activities40
Cost92.24

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%117 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$17.55 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers17 claims17 services$909.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$90.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WILDWOOD EMERGENCY GROUP, LLC
Emergency Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
BRETT LAWRENCE ARMSTRONG MD, MBA
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
AMIN ABU HEJLEH
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
DR. STEPHEN DANIEL DO
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
ZACHARY LOGAN BIRCH DO
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
PETER J RECUPERO D.O.
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
DR. MICHAEL HOWARD CLARY DO
Family Medicine
3700 S MAIN ST, SUITE A
BLACKSBURG, VA 24060
Montgomery County (540) 443-7187
DR. JENNIFER HANEY DO
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111

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 William Cox's NPI number?

The NPI number for William Cox is 1285827485. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is William Cox located?

William Cox practices at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (540) 951-3020.

What is William Cox's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is William Cox enrolled in Medicare?

Yes. William 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.

Is William Cox affiliated with any hospitals?

According to CMS data, William Cox is affiliated with Lewisgale Medical Center, Lewisgale Hospital Montgomery, Twin County Regional Hospital and Lewisgale Hospital Pulaski.

When was this NPI record last updated?

The NPPES record for William Cox was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.