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MR. KENNETH F. COX PA-C
NPI 1730158809
Physician Assistant - Medical in Dothan, AL

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
89.76/100
CMS Quality Rating
4126 WEST MAIN STREET, DOTHAN, AL 36305(334) 793-2120(334) 671-0228 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2020, Sep 11, 2020 (2 updates tracked since 2020).

About Mr. Kenneth F. Cox Pa-c NPPES

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

MR. KENNETH F. COX PA-C (NPI 1730158809) is an individual medical provider in Dothan, Alabama, licensed in Alabama (PA-223) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730158809
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH F. COXCredential: PA-C
Location Address4126 WEST MAIN STREETDothan, AL 36305-9310
Mailing AddressPo Box 6599Dothan, AL 36302-6599 · (334) 793-2120 · Fax (334) 671-0228
Phone(334) 793-2120
Fax(334) 671-0228
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1730158809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AL · PA-223
4126 WEST MAIN STREET, Dothan, AL 36305
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Mr. Kenneth F. Cox Pa-c 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 ID1355423286
PECOS Enrollment IDI20080429000479
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 2

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.
32 services13 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.
23 services20 patients

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.

89.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
19%257 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%665 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%175 patients1/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 2

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

PRIMETEAM, INC.
Clinic/Center (Primary Care)
4126 WEST MAIN STREET
DOTHAN, AL 36305
Houston County (334) 793-2120
DR. MATHEW GLEN KRISTA MD
Emergency Medicine
4126 WEST MAIN STREET
DOTHAN, AL 36305
Houston County (334) 793-2120

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 Kenneth Cox's NPI number?

The NPI number for Kenneth Cox is 1730158809. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Kenneth Cox located?

Kenneth Cox practices at 4126 West Main Street, Dothan, AL 36305. The listed phone number is (334) 793-2120.

What is Kenneth Cox's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Cox enrolled in Medicare?

Yes. Kenneth 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 Kenneth Cox accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Cox was last updated on September 23, 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.