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JAMES BENJAMIN COX D.O.
NPI 1407879075
Orthopaedic Surgery - Sports Medicine in Hurricane, WV

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3703 TEAYS VALLEY RD, HURRICANE, WV 25526(304) 760-9250(304) 760-9290 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Benjamin Cox D.o. NPPES

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

JAMES BENJAMIN COX D.O. (NPI 1407879075) is an individual sports medicine provider in Hurricane, West Virginia, licensed in West Virginia (1664) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of West Virginia School Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1407879075
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAMES BENJAMIN COXCredential: D.O.
Location Address3703 TEAYS VALLEY RDHurricane, WV 25526-9645
Mailing Address3703 Teays Valley RdHurricane, WV 25526-9645 · (304) 757-2273 · Fax (304) 760-9290
Phone(304) 760-9250
Fax(304) 760-9290
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1993
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 29, 2015
✔ NPI 1407879075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WV · 1664
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
3703 TEAYS VALLEY RD, Hurricane, WV 25526
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Other Identifiers 4

Medicare NSC1248180015
Medicare PINP00454091
Medicare PINCO4098864WV
Medicaid0098791001WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource, Highmark Blue Cross Blue Shield West Virginia 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

James Benjamin 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 ID2264425701
PECOS Enrollment IDI20250325003666
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
123 services82 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.
54 services43 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.
51 services46 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.
32 services32 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.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420107
Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County
Emergency services

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$19.49 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$4.65 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.

DAVID A FELDER JR. M.D.
Orthopaedic Surgery
3703 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 757-2273
GREAT TEAYS MEDICAL ASSOCIATES
Orthopaedic Surgery (Sports Medicine)
3703 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 760-9250
CHRISTOPHER M SANTANGELO PA-C
Physician Assistant (Surgical)
3703 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 760-9250

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 James Cox's NPI number?

The NPI number for James Cox is 1407879075. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Cox located?

James Cox practices at 3703 Teays Valley Rd, Hurricane, WV 25526. The listed phone number is (304) 760-9250.

What is James Cox's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Cox enrolled in Medicare?

Yes. James 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 James Cox accept?

Health plans from BlueCross BlueShield of South Carolina, CareSource, Highmark Blue Cross Blue Shield West Virginia, InStil Health and Molina Healthcare list James 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 James Cox affiliated with any hospitals?

According to CMS data, James Cox is affiliated with Mcleod Regional Medical Center-Pee Dee and Mcleod Health Cheraw.

When was this NPI record last updated?

The NPPES record for James Cox was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.