TONYA COX
NPI 1316480601
Nurse Practitioner - Family in Altoona, PA

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602(814) 946-7593 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Nov 18, 2016 (2 updates tracked since 2016).

About Tonya Cox NPPES

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

TONYA COX (NPI 1316480601) is an individual family provider in Altoona, Pennsylvania, licensed in Pennsylvania (SP016839) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316480601
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA COX
Location Address1414 9TH AVE, STATION MEDICAL CENTERAltoona, PA 16602-2415
Mailing Address1414 9th Ave, Station Medical CenterAltoona, PA 16602-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 18, 2016
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPI 1316480601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP016839
1414 9TH AVE, Altoona, PA 16602

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

Tonya Cox 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 ID4486922572
PECOS Enrollment IDI20170614000290
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 2

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.

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.
104 services95 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
24 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA
OwnershipProprietary
CMS Certification Number391317
Location290 Haida AvenueHastings, PA 16646 · Cambria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Referred Medical Equipment & Supplies CMS DME claims 5

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
16 suppliers54 claims177 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims31 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers19 claims19 services$317.26 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
6 suppliers287 claims288 services$179.93 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers14 claims14 services$176.11 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.

Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Urology
1414 9TH AVE
ALTOONA, PA 16602
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Physician Assistant
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Podiatrist (Foot & Ankle Surgery)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1414 9TH AVE
ALTOONA, PA 16602

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 Tonya Cox's NPI number?

The NPI number for Tonya Cox is 1316480601. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Tonya Cox located?

Tonya Cox practices at 1414 9th Ave Station Medical Center, Altoona, PA 16602. The listed phone number is (814) 946-7593.

What is Tonya Cox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonya Cox enrolled in Medicare?

Yes. Tonya 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 Tonya Cox affiliated with any hospitals?

According to CMS data, Tonya Cox is affiliated with Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona, Upmc Bedford Memorial and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Cox was last updated on May 24, 2021. 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.