DR. PHILLIP COX D.O.
NPI 1629262944
Internal Medicine - Critical Care Medicine in South Charleston, WV

Q: What is Phillip Cox's NPI number?

The NPI number for Phillip Cox is 1629262944. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Q: What is Phillip Cox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Cox was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 29, 2007PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309(304) 400-4545(304) 400-4546 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2020, Jan 31, 2020, Oct 7, 2019 (3 updates tracked since 2019).

On this page

About Dr. Phillip Cox D.o. NPPES

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

DR. PHILLIP COX D.O. (NPI 1629262944) is an individual critical care medicine provider in South Charleston, West Virginia, licensed in West Virginia (2338) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Spencer.

NPPES Registry Identity

NPI1629262944

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. PHILLIP COXCredential: D.O.

Location Address4619 KANAWHA AVE SWSouth Charleston, WV 25309-1319

Mailing Address4619 Kanawha Ave SwSouth Charleston, WV 25309-1319 · (304) 400-4545 · Fax (304) 400-4546

Phone(304) 400-4545

Fax(304) 400-4546

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2007

Enumeration DateAugust 29, 2007

Last NPPES UpdateNovember 20, 20203 updates tracked since enumeration

NPPES CertifiedNovember 20, 2020

✔ NPI 1629262944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in WV · 2338

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2338 (WV)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 2338 (WV)

4619 KANAWHA AVE SW, South Charleston, WV 25309

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Secondary Practice Location 1

Location 1200 Hospital DrSpencer, WV 25276-1050 · Phone (304) 927-6822 · Fax (304) 927-6839

Other Identifiers 2

OtherWV3298AWV · Medicare Ptan

Medicaid3810026348WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Phillip 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 ID446491906

PECOS Enrollment IDI20131015001308, I20140506001925

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 18

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.

669 services524 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

613 services237 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

278 services119 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

262 services256 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

254 services247 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

146 services144 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.

125 services125 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

70 services67 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

58 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services48 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.

43 services43 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

26 services26 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

24 services24 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

23 services23 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

16 services15 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

16 services16 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number510046

Location122 12th StreetPrinceton, WV 24740 · Mercer County

Emergency services Birthing friendly

Jackson General Hospital

Critical Access Hospitals · Ripley, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511320

Location122 Pinnell StRipley, WV 25271 · Jackson County

Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511322

Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

90.11/100

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

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

18%1,049 patients1/55-star benchmark: 90%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers55 claims55 services$38.55 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

8 suppliers16 claims25 services$1.43 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

6 suppliers14 claims14 services$15.30 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

24 suppliers182 claims182 services$87.07 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

21 suppliers160 claims410 services$33.86 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

13 suppliers42 claims239 services$18.95 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers21 claims106 services$13.37 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

18 suppliers83 claims83 services$52.19 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

23 suppliers146 claims146 services$18.50 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

26 suppliers188 claims188 services$14.28 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

27 suppliers237 claims1,225 services$2.06 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

19 suppliers92 claims92 services$6.05 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

19 suppliers86 claims86 services$11.96 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

20 suppliers326 claims328 services$17.46 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

10 suppliers450 claims450 services$909.50 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

9 suppliers123 claims124 services$105.47 avg. paid by Medicare

Oscillatory positive expiratory pressure device, non-electric, any type, each E0484

DME-Other DME · category DE000N

3 suppliers11 claims11 services$32.37 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers24 claims24 services$140.82 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers73 claims75 services$14.22 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

10 suppliers187 claims187 services$5.43 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

14 suppliers304 claims304 services$34.93 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

27 suppliers655 claims656 services$85.97 avg. paid by Medicare

Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each E1391

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$119.27 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers128 claims128 services$33.55 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims780 services$3.93 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers19 claims7,130 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers42 claims4,500 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers23 claims1,740 services$0.82 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers20 claims105,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

4 suppliers34 claims34 services$34.29 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

20 suppliers77 claims77 services$24.72 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 16

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

JAMIE SPENCER NP-C

Nurse Practitioner (Family)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

KELSEY STRICKLAND APRN, FNP-BC

Nurse Practitioner (Family)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

CHRISTINE CAROLE MARTIN APRN

Nurse Practitioner (Acute Care)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

TREVOR STANLEY NP

Nurse Practitioner (Critical Care Medicine)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

CAITLIN JOHNSON APRN, FNP-BC

Nurse Practitioner (Primary Care)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

DR. RYAN LLOYD WADDELL DO

Internal Medicine (Pulmonary Disease)

4619 KANAWHA AVE SW, PULMONARY ASSOCIATES OF CHARLESTON
CHARLESTON, WV 25309

Kanawha County (304) 400-4545

YEZENIA SOTO APRN-BC

Nurse Practitioner (Critical Care Medicine)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

JOSHUA CHASE ANDERSON FNP-BC

Nurse Practitioner (Family)

4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 400-4545

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 Phillip Cox's NPI number?

The NPI number for Phillip Cox is 1629262944. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Phillip Cox located?

Phillip Cox practices at 4619 Kanawha Ave SW, South Charleston, WV 25309. The listed phone number is (304) 400-4545.

What is Phillip Cox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Phillip Cox enrolled in Medicare?

Yes. Phillip 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 Phillip Cox accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Phillip 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 Phillip Cox affiliated with any hospitals?

According to CMS data, Phillip Cox is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital, Princeton Community Hospital, Jackson General Hospital and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Cox was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.