DR. NATHAN R COX M.D.
NPI 1912173378
Hospitalist in Santa Monica, CA

Q: What is Nathan Cox's NPI number?

The NPI number for Nathan Cox is 1912173378. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Q: What is Nathan Cox's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Cox was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 06, 2008PECOS EnrolledAccepts Medicare Assignment

86.1/100

CMS Quality Rating

1250 16TH ST, 2304 CENTRAL WING, SANTA MONICA, CA 90404(310) 319-4698(310) 319-4908 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Nathan R Cox M.d. NPPES

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

DR. NATHAN R COX M.D. (NPI 1912173378) is an individual hospitalist provider in Santa Monica, California, licensed in California (A116263) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1912173378

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. NATHAN R COXCredential: M.D.

Location Address1250 16TH ST, 2304 CENTRAL WINGSanta Monica, CA 90404-1249

Mailing Address757 Westwood PlzLos Angeles, CA 90095-8358 · (310) 267-9643 · Fax (310) 319-4908

Phone(310) 319-4698

Fax(310) 319-4908

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2008

Enumeration DateMay 6, 2008

Last NPPES UpdateMarch 22, 2017

✔ NPI 1912173378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A116263

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A116263 (CA)

1250 16TH ST, Santa Monica, CA 90404

Open in Google Maps ↗

Other Identifiers 2

Medicaid1912173378CA

Medicare PINEY089ZCA

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. Nathan R 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 ID4486830650

PECOS Enrollment IDI20110524000388

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 4

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.

899 services195 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.

206 services73 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.

124 services118 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

41 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

86.1/100

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

Scored as part of a group practice

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Cost

66.73

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.

ISABELLA JUSAY NP

Nurse Practitioner