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COLBY L COX DPM
NPI 1356780373
Podiatrist - Foot & Ankle Surgery in Hermitage, PA

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
2025 E STATE ST, HERMITAGE, PA 16148(724) 981-4681(724) 981-6681 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colby L Cox Dpm NPPES

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

COLBY L COX DPM (NPI 1356780373) is an individual foot & ankle surgery provider in Hermitage, Pennsylvania, licensed in Pennsylvania (SC006457) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Upmc Horizon, and is a graduate of Barry University School Of Podiatric Medicine (2013).

NPPES Registry Identity

NPI1356780373
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCOLBY L COXCredential: DPM
Location Address2025 E STATE STHermitage, PA 16148-1868
Mailing Address2025 E State StHermitage, PA 16148-1868 · (724) 981-4681 · Fax (724) 981-6681
Phone(724) 981-4681
Fax(724) 981-6681
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateNovember 12, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1356780373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC006457
2025 E STATE ST, Hermitage, PA 16148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Colby L Cox Dpm 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 ID5597055970
PECOS Enrollment IDI20160622000629
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
830 services305 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
150 services78 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
84 services63 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
63 services55 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
35 services25 patients

Hospital Affiliations CMS Care Compare

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

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

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.

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
100%20 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
100%20 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%52 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%607 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
33%382 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%1,494 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%28 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%1,494 patients1/55-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 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier17 claims34 services$57.17 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier16 claims92 services$22.77 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 3

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

S JEROME SCHNALL DPM
Podiatrist (Foot Surgery)
2025 E STATE ST
HERMITAGE, PA 16148
Mercer County (724) 981-4681
S JEROME SCHNALL DPM
Podiatrist (Foot Surgery)
2025 E STATE ST
HERMITAGE, PA 16148
Mercer County (724) 981-4681
SOLE SOLUTIONS PODIATRY LTD
Podiatrist
2025 E STATE ST
HERMITAGE, PA 16148
Mercer County (724) 981-4681

Frequently Asked Questions

What is Colby Cox's NPI number?

The NPI number assigned to this healthcare provider is 1356780373, enumerated as an "individual" on June 24, 2013.

Where is the provider located?

The provider is located at 2025 E STATE ST HERMITAGE, PA 16148 and the phone number is (724) 981-4681.

What is the provider's specialty?

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

What insurance does Colby Cox accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Is Colby Cox affiliated with any hospitals?

Colby Cox is affiliated with: UPMC HORIZON.