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TIMOTHY CLYDE COX MD
NPI 1437260650
Internal Medicine - Hematology & Oncology in Petoskey, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.33/100
CMS Quality Rating
560 W MITCHELL ST, SUITE 185, PETOSKEY, MI 49770(231) 487-3390(231) 487-3578 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Clyde Cox Md NPPES

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

TIMOTHY CLYDE COX MD (NPI 1437260650) is an individual hematology & oncology provider in Petoskey, Michigan, licensed in Michigan (4301054609) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cameron Memorial Community Hospital Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1437260650
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameTIMOTHY CLYDE COXCredential: MD
Location Address560 W MITCHELL ST, SUITE 185Petoskey, MI 49770-2275
Mailing Address560 W Mitchell St, Suite 185Petoskey, MI 49770-2275 · (231) 487-3390 · Fax (231) 487-3578
Phone(231) 487-3390
Fax(231) 487-3578
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 2, 2020
✔ NPI 1437260650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · 4301054609
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
560 W MITCHELL ST, Petoskey, MI 49770
Open in Google Maps ↗

Other Identifiers 6

Other1107400651MI · Bcbsm
Other9808309002Cigna
Other101352Care Choices
Other110G410290Bcn
OtherG37559Hap
Medicaid352354310MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, UnitedHealthcare.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

Timothy Clyde Cox Md 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 ID6103876412
PECOS Enrollment IDI20100902000650
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.

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.
368 services210 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.
260 services101 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.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230037
Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.66
Promoting Interoperability100
Improvement Activities40
Cost71.44

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.

Iv pole E0776
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$91.00 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers25 claims1,972 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims14 services$17.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers20 claims27 services$11.69 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.

BAYVIEW OB/GYN, PC
Obstetrics & Gynecology
560 W MITCHELL ST, STE 210
PETOSKEY, MI 49770
Emmet County (231) 487-2340
HARBOR ARTHRITIS CENTER, PC
Internal Medicine (Rheumatology)
560 W MITCHELL ST, STE 560
PETOSKEY, MI 49770
Emmet County (231) 487-2150
ROBERT JOHN SELEDOTIS D.O., P.C.
Neurological Surgery
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Emmet County (231) 487-3182
KRISTI LYNN DIPZINSKI NP-C
Nurse Practitioner (Adult Health)
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Emmet County (231) 487-2460
DR. VIRA C HEISE M.D.
Internal Medicine
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Emmet County (231) 487-2460
DANIEL E MCDONNELL M D P C
Internal Medicine (Pulmonary Disease)
560 W MITCHELL ST, STE 505
PETOSKEY, MI 49770
Emmet County (231) 487-2100
PETOSKEY EAR, NOSE & THROAT SPECIALISTS PLLC
Audiologist-Hearing Aid Fitter
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Emmet County (231) 487-3277
EILEEN V. PINKARD MD
Psychiatry & Neurology (Neurology)
560 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 487-3295

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 Timothy Cox's NPI number?

The NPI number for Timothy Cox is 1437260650. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Timothy Cox located?

Timothy Cox practices at 560 W Mitchell St Suite 185, Petoskey, MI 49770. The listed phone number is (231) 487-3390.

What is Timothy Cox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Timothy Cox enrolled in Medicare?

Yes. Timothy 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 Timothy Cox accept?

Health plans from McLaren Health Plan Community, Priority Health and UnitedHealthcare list Timothy 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 Timothy Cox affiliated with any hospitals?

According to CMS data, Timothy Cox is affiliated with Cameron Memorial Community Hospital Inc, Promedica Coldwater Regional Hospital, Hillsdale Hospital, Bronson Battle Creek Hospital and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Cox was last updated on November 27, 2023. 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.