1. Home
  2. Directory
  3. Michigan
  4. Mt Pleasant
  5. Orthopaedic Surgery
  6. NPI Profile

BENJAMIN ANDREW COX D.O.
NPI 1306104476
Orthopaedic Surgery in Mt Pleasant, MI

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
4851 E PICKARD ST STE 1100, MT PLEASANT, MI 48858(989) 463-2333(989) 463-2266 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2018, Aug 15, 2018, Apr 23, 2018 (3 updates tracked since 2018).

About Benjamin Andrew Cox D.o. NPPES

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

BENJAMIN ANDREW COX D.O. (NPI 1306104476) is an individual orthopaedic surgery provider in Mt Pleasant, Michigan, licensed in Michigan (5101019801) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306104476
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBENJAMIN ANDREW COXCredential: D.O.
Location Address4851 E PICKARD ST STE 1100Mt Pleasant, MI 48858-2038
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 463-2333
Fax(989) 463-2266
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateApril 29, 20253 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1306104476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MI · 5101019801✔ Licensed in FL · 14554
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4851 E PICKARD ST STE 1100, Mt Pleasant, MI 48858
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12600 Three Leaves DrMount Pleasant, MI 48858-5523 · Phone (984) 418-3777
Location 2602 Beech St Ste 3100Clare, MI 48617-1467 · Phone (989) 802-8515 · Fax (989) 802-5019
Location 3315 E Warwick Dr Ste AAlma, MI 48801-1083 · Phone (989) 463-2333 · Fax (989) 463-2266
Location 4315 E Warwick Dr Ste BAlma, MI 48801-1083 · Phone (989) 463-2333 · Fax (989) 463-2266

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

Benjamin Andrew 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 ID9335414366
PECOS Enrollment IDI20171002001405, I20180830002350
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 5

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
184 services30 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.
67 services43 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
45 services27 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.
43 services34 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230030
Location300 E Warwick DrAlma, MI 48801 · Gratiot County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48858 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Benjamin Cox's NPI number?

The NPI number for Benjamin Cox is 1306104476. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Benjamin Cox located?

Benjamin Cox practices at 4851 E Pickard St Ste 1100, Mt Pleasant, MI 48858. The listed phone number is (989) 463-2333.

What is Benjamin Cox's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Cox enrolled in Medicare?

Yes. Benjamin 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 Benjamin 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 Benjamin 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 Benjamin Cox affiliated with any hospitals?

According to CMS data, Benjamin Cox is affiliated with Mymichigan Medical Center Alma and Mymichigan Medical Center Clare.

When was this NPI record last updated?

The NPPES record for Benjamin Cox was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.