DR. CAROLINE K COX M.D.
NPI 1568807303
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Madison, WI
About Dr. Caroline K Cox M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLINE K COX M.D. (NPI 1568807303) is an individual urogynecology and reconstructive pelvic surgery provider in Madison, Wisconsin, licensed in Wisconsin (62867) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Caroline K Cox M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Caroline Cox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Cherry Hill, NJ 08034
- Reassigned Medicare billing, New Jersey enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Caroline Cox's NPI number?
The NPI number for Caroline Cox is 1568807303. It was assigned to this individual provider in the NPPES registry on May 7, 2013. The provider is also known as Caroline Ann Kieseman-Shmokler.
Where is Caroline Cox located?
Caroline Cox practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 263-6240.
What is Caroline Cox's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.
Is Caroline Cox enrolled in Medicare?
Yes. Caroline 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.
Which organizations bill Medicare for Caroline Cox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Cox reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Clinical Health Care Associates Of New Jersey PC (Cherry Hill, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Cox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caroline Cox accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz list Caroline 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 Caroline Cox affiliated with any hospitals?
According to CMS data, Caroline Cox is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Caroline Cox was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Caroline K Cox, M.D. · NPI 1568807303
Urogynecology and Reconstructive Pelvic Surgery physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since May 7, 2013.
## Identity
- **NPI:** 1568807303 (Entity type: Individual)
- **Enumerated:** May 7, 2013
- **Primary specialty:** Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery · taxonomy 207VF0040X
- **State license:** 62867 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 202 S PARK ST, Madison, WI 53715-1507
- **Phone:** (608) 263-6240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Clinical Health Care Associates Of New Jersey PC (NPI 1275662017, Cherry Hill, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1568807303) · Data from the CMS NPPES public registry.