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DR. ERIC MICHAEL COX M.D.
NPI 1821275074
Surgery in Peoria, IL

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST STE 300, PEORIA, IL 61606(309) 495-0200(309) 676-6545 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2023, Dec 22, 2021 (2 updates tracked since 2021).

About Dr. Eric Michael Cox M.d. NPPES

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

DR. ERIC MICHAEL COX M.D. (NPI 1821275074) is an individual surgery provider in Peoria, Illinois, licensed in Illinois (036128664) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Southern Illinois University School Of Medicine (2006).

NPPES Registry Identity

NPI1821275074
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ERIC MICHAEL COXCredential: M.D.
Location Address1001 MAIN ST STE 300Peoria, IL 61606-2036
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(309) 495-0200
Fax(309) 676-6545
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2006
Enumeration DateJanuary 29, 2008
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1821275074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036128664
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1001 MAIN ST STE 300, Peoria, IL 61606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric Michael 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 ID4284800749
PECOS Enrollment IDI20120104000605
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Eric Cox reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
7.4 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Pekin Prohealth Inc
9.5 mi
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1932150299 (309) 353-0825
Mason Hospital District
22 mi
Family Medicine
1301 S EAST AVE
Manito, IL 61546
  • Reassigned Medicare billing, Illinois enrollment
  • 56 clinicians in this Medicare group
NPI 1902340748 (309) 968-5311
Springfield Clinic, LLP
63 mi
Multi-Specialty
1025 S 6TH ST
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1780638478 (217) 528-7541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.
77 services47 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
53 services38 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.
49 services49 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.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 11

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

MICHELLE HEAL
Nurse Practitioner
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0250
SPRINGFIELD CLINIC LLP
Clinic/Center (Multi-Specialty)
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
MRS. KAREN A COLLINS APN
Nurse Practitioner (Family)
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
GRETCHEN M EVANS D.P.M.
Podiatrist (Foot Surgery)
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 465-0200
DR. JACOB ROYLE HOPPING M.D.
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
DR. TYLER ANDREW EVANS M.D.
Plastic Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (217) 528-7541
EDITH JOY KEMP MS RD LD
Dietitian, Registered
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
DR. ROBIN A ALLEY MD
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200

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 1821275074. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Eric Cox located?

Eric Cox practices at 1001 Main St Ste 300, Peoria, IL 61606. The listed phone number is (309) 495-0200.

What is Eric Cox's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.

Which organizations bill Medicare for Eric Cox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Cox reassigns Medicare benefits to 4 organizations: Osf Multi-Specialty Group (Peoria, IL), Pekin Prohealth Inc (Pekin, IL), Mason Hospital District (Manito, IL) and Springfield Clinic, LLP (Springfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Cox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Cox accept?

Health plans from Taro 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 Proctor Hospital, Pekin Memorial Hospital, St Joseph Medical Center and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Eric Cox was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.