KATHRYN ELYSE COX MD
NPI 1629561907
Family Medicine in Saint Clair Shores, MI

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
24911 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48080(586) 777-2050(586) 777-2189 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Elyse Cox Md NPPES

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

KATHRYN ELYSE COX MD (NPI 1629561907) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4301115515) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1629561907
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHRYN ELYSE COXCredential: MD
Location Address24911 LITTLE MACK AVE STE CSaint Clair Shores, MI 48080-3200
Mailing Address24911 Little Mack Ave Ste CSaint Clair Shores, MI 48080-3200 · (586) 777-2050 · Fax (586) 777-2189
Fax(586) 777-2189
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateJune 11, 2018
NPI 1629561907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301115515
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
24911 LITTLE MACK AVE STE C, Saint Clair Shores, MI 48080

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

Kathryn Elyse 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 ID9537415401
PECOS Enrollment IDI20210824002154
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 3

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.
44 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

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.

Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080

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 Kathryn Cox's NPI number?

The NPI number for Kathryn Cox is 1629561907. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Kathryn Cox located?

Kathryn Cox practices at 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-2050.

What is Kathryn Cox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathryn Cox enrolled in Medicare?

Yes. Kathryn 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 Kathryn Cox accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kathryn 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 Kathryn Cox affiliated with any hospitals?

According to CMS data, Kathryn Cox is affiliated with Ascension St John Hospital and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Cox was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.