DR. DOUGLAS E COX MD
NPI 1295738060
Family Medicine in Cadillac, MI

Q: What is Douglas Cox's NPI number?

The NPI number for Douglas Cox is 1295738060. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Douglas Cox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Cox was last updated on November 23, 2020. 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.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

7985 MACKINAW TRL, CADILLAC, MI 49601(231) 876-6200(231) 779-5290 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Douglas E Cox Md NPPES

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

DR. DOUGLAS E COX MD (NPI 1295738060) is an individual family medicine provider in Cadillac, Michigan, licensed in Michigan (4301072008) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and is a graduate of Michigan State University College Of Human Medicine (1998).

NPPES Registry Identity

NPI1295738060

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DOUGLAS E COXCredential: MD

Location Address7985 MACKINAW TRLCadillac, MI 49601-8111

Mailing AddressPo Box 533Grayling, MI 49738-0533 · (231) 876-7857 · Fax (231) 876-7176

Phone(231) 876-6200

Fax(231) 779-5290

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1998

Enumeration DateMay 24, 2005

Last NPPES UpdateNovember 23, 2020

NPPES CertifiedNovember 23, 2020

✔ NPI 1295738060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301072008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7985 MACKINAW TRL, Cadillac, MI 49601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Douglas E 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 ID7214028091

PECOS Enrollment IDI20070808000507

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.

Hospital Affiliations CMS Care Compare

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230081

Location400 Hobart StCadillac, MI 49601 · Wexford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49601 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers59 claims146 services$5.84 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers28 claims37 services$1.06 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$41.80 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers12 claims12 services$20.84 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims72 services$2.40 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims330 services$4.15 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims7,462 services$0.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers34 claims34 services$20.03 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$33.89 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

2 suppliers40 claims40 services$110.37 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$36.29 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers15 claims3,797 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers31 claims3,810 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier14 claims750 services$0.68 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$30.86 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers29 claims29 services$184.45 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers44 claims44 services$23.64 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 15

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

CADILLAC OCCUPATIONAL MEDICINE

Clinic/Center (Occupational Medicine)

7985 MACKINAW TRL, STE B1
CADILLAC, MI 49601

Wexford County (231) 779-5224

DR. LORI M CRAGO MD

Family Medicine

7985 MACKINAW TRL
CADILLAC, MI 49601

Wexford County (231) 876-6200

MERCY NORTH HOMECARE & HOSPICE

Hospice Care, Community Based

7985 MACKINAW TRL, SUITE 100
CADILLAC, MI 49601

Wexford County (231) 712-9550

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Obstetrics & Gynecology

7985 MACKINAW TRL
CADILLAC, MI 49601

Wexford County (231) 876-6200

MERCY NORTH HOMECARE & HOSPICE

Home Health

7985 MACKINAW TRL, SUITE 100
CADILLAC, MI 49601

Wexford County (231) 779-9550

MERCY HOSPITAL CADILLAC

Clinic/Center (Rural Health)

7985 MACKINAW TRL
CADILLAC, MI 49601

Wexford County (231) 876-6200

MS. HEATHER LYNN NOLAN FNP

Nurse Practitioner (Family)

7985 MACKINAW TRL
CADILLAC, MI 49601

Wexford County (231) 876-6200

MERCY HOSPITAL CADILLAC

Obstetrics & Gynecology

7985 MACKINAW TRL
CADILLAC, MI 49601

Wexford County (231) 876-6200

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 Douglas Cox's NPI number?

The NPI number for Douglas Cox is 1295738060. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Douglas Cox located?

Douglas Cox practices at 7985 Mackinaw Trl, Cadillac, MI 49601. The listed phone number is (231) 876-6200.

What is Douglas Cox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Cox enrolled in Medicare?

Yes. Douglas 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 Douglas Cox accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Douglas 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 Douglas Cox affiliated with any hospitals?

According to CMS data, Douglas Cox is affiliated with Munson Healthcare Cadillac Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Cox was last updated on November 23, 2020. 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.