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DR. RANDAL MURLEN COX O.D.
NPI 1831160951
Optometrist in Atlanta, TX

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
63.87/100
CMS Quality Rating
719 W MAIN ST, ATLANTA, TX 75551(903) 796-8288(903) 796-9071 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randal Murlen Cox O.d. NPPES

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

DR. RANDAL MURLEN COX O.D. (NPI 1831160951) is an individual optometrist in Atlanta, Texas, licensed in Texas (2702TG) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1980).

NPPES Registry Identity

NPI1831160951
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RANDAL MURLEN COXCredential: O.D.
Location Address719 W MAIN STAtlanta, TX 75551-3425
Mailing Address400 County Road 4133Atlanta, TX 75551-7034 · (903) 796-9752
Phone(903) 796-8288
Fax(903) 796-9071
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1980
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1831160951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 2702TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 2702TG (TX)
719 W MAIN ST, Atlanta, TX 75551
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Other Identifiers 8

Other97518AR · Blue Cross/blue Shield
Other82541ETX · Blue Cross/blue Shield
Medicaid107682722AR
OtherB0100293TX · Dps
Other410000092TX · Railroad Medicare
Other00E75WTX · Medicare
Medicaid1696641LA
Medicaid112390303TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Randal Murlen Cox O.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 ID7719989490
PECOS Enrollment IDI20070306000190
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 11

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
559 services268 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
423 services248 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
269 services186 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
257 services250 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
242 services208 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
109 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75551 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

63.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.14
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

e-Prescribing
40%215 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%501 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims14 services$52.72 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 4

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

DR. MICHAEL COOPER CADE O.D.
Optometrist
719 W MAIN ST
ATLANTA, TX 75551
Cass County (903) 796-8288
DR. TERRY DON FOSTER O.D.
Optometrist
719 W MAIN ST
ATLANTA, TX 75551
Cass County (903) 796-8288
DR. ADAM RANDAL COX O.D.
Optometrist
719 W MAIN ST
ATLANTA, TX 75551
Cass County (903) 796-8288
FAMILY EYE CARE CLINIC PC
Optometrist
719 W MAIN ST
ATLANTA, TX 75551
Cass County (903) 796-8288

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 Randal Cox's NPI number?

The NPI number for Randal Cox is 1831160951. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Randal Cox located?

Randal Cox practices at 719 W Main St, Atlanta, TX 75551. The listed phone number is (903) 796-8288.

What is Randal Cox's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Randal Cox enrolled in Medicare?

Yes. Randal 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 Randal Cox accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Randal 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 Randal Cox was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.