ERIC LEE COX DO
NPI 1568968956
Otolaryngology in Grand Rapids, MI

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
99.04/100
CMS Quality Rating
4055 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 252-5760 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric Lee Cox Do NPPES

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

ERIC LEE COX DO (NPI 1568968956) is an individual otolaryngology provider in Grand Rapids, Michigan, licensed in Michigan (5101025715) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568968956
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameERIC LEE COXCredential: DO
Location Address4055 CASCADE RD SEGrand Rapids, MI 49546-2149
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedJune 11, 2023
NPI 1568968956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · 5101025715
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4055 CASCADE RD SE, Grand Rapids, MI 49546

Secondary Practice Locations 2

Location 12093 Health Dr SWWyoming, MI 49519-9691 · Phone (616) 252-7200
Location 25900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7200

Accepted 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

Eric Lee Cox Do 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 ID4981968526
PECOS Enrollment IDI20230713002570
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 4

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.

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.
52 services52 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.
41 services31 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
18 services18 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

99.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Physician Assistant
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Physician Assistant
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Otolaryngology
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Otolaryngology
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Physician Assistant
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546
Otolaryngology
4055 CASCADE RD SE
GRAND RAPIDS, MI 49546

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 Eric Cox's NPI number?

The NPI number for Eric Cox is 1568968956. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Eric Cox located?

Eric Cox practices at 4055 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 252-5760.

What is Eric Cox's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Eric Cox enrolled in Medicare?

Yes. Eric 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 Eric Cox accept?

Health plans from McLaren Health Plan Community and Priority Health list Eric 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 Eric Cox affiliated with any hospitals?

According to CMS data, Eric Cox is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Eric Cox was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.