NANCY COX
NPI 1376064998
Optometrist in Granbury, TX

Q: What is Nancy Cox's NPI number?

The NPI number for Nancy Cox is 1376064998. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Nancy Cox's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Cox was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 05, 2017PECOS EnrolledAccepts Medicare Assignment

85.97/100

CMS Quality Rating

1201 MEDICAL PLAZA CT, GRANBURY, TX 76048(817) 279-9044 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2018, Jul 5, 2017 (2 updates tracked since 2017).

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About Nancy Cox NPPES

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

NANCY COX (NPI 1376064998) is an individual optometrist in Granbury, Texas, licensed in Texas (9175) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2017).

NPPES Registry Identity

NPI1376064998

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameNANCY COX

Location Address1201 MEDICAL PLAZA CTGranbury, TX 76048-5684

Mailing Address1201 Medical Plaza CtGranbury, TX 76048-5684 · (817) 279-9044

Phone(817) 279-9044

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2017

Enumeration DateJuly 5, 2017

Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2024

✔ NPI 1376064998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 9175

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 9175 (TX)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 9175 (TX)

Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 9175 (TX)

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 9175 (TX)

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 9175 (TX)

1201 MEDICAL PLAZA CT, Granbury, TX 76048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Nancy 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 ID7416220728

PECOS Enrollment IDI20170908001005

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 10

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

289 services271 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.

164 services108 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

70 services70 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

43 services43 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.

24 services24 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76048 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

85.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

53.24

Other Providers at the Same Location NPPES 5

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

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