DR. CAROLINE K COX M.D.
NPI 1568807303
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Madison, WI

Q: 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.

Q: 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.

Q: 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 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 May 07, 2013PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

202 S PARK ST, MADISON, WI 53715(608) 263-6240 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2020, Jun 30, 2020, Feb 14, 2017 (3 updates tracked since 2017).

On this page

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

NPI1568807303

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameDR. CAROLINE K COXCredential: M.D.

Location Address202 S PARK STMadison, WI 53715-1507

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-6240

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 7, 2013

Last NPPES UpdateSeptember 25, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2023

✔ NPI 1568807303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in WI · 62867

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD470156 (PA)

202 S PARK ST, Madison, WI 53715

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Other Names 1

Former Name (1)Caroline Ann Kieseman-shmokler

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW 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

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.

PECOS PAC ID3274756614

PECOS Enrollment IDI20231009003138

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 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.

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.

67 services49 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.

20 services20 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

17 services17 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.

17 services16 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

16 services16 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

14 services14 patients

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, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520089

Location202 S Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician 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.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

77.43/100

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

Scored as part of a group practice

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

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.

ASHLEY N BERKA NURSE PRACTITIONER

Nurse Practitioner

202 S PARK ST
MADISON, WI 53715

Dane County (608) 417-6667

BROOK INGEBRIGTSON APNP

Nurse Practitioner (Neonatal, Critical Care)

202 S PARK ST
MADISON, WI 53715

Dane County (608) 417-6236

PAUL LADWIG RN

Registered Nurse

202 S PARK ST
MADISON, WI 53715

Dane County (608) 417-6000

DIXITA KAPPELL NP

Nurse Practitioner (Neonatal, Critical Care)

202 S PARK ST
MADISON, WI 53715

Dane County (608) 417-6236

SUSAN R WILHELM PA-C

Physician Assistant (Medical)

202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715

Dane County (608) 417-5970

PETER GERARD PRYDE MD

Anesthesiology

202 S PARK ST, 4 TOWER
MADISON, WI 53715

Dane County (608) 267-6676

SUSAN MENG PT

Physical Therapist

202 S PARK ST
MADISON, WI 53715

Dane County (608) 417-6000

BRIAN DAVID GRIFFITH M.D.

Internal Medicine (Critical Care Medicine)

202 S PARK ST
MADISON, WI 53715

Dane County (608) 417-5950

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.

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 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.