GARY F COX MD
NPI 1922045095
Dermatology in Victoria, TX

Active since May 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0498664 · Microscopy
99.15/100
CMS Quality Rating
2705 HOSPITAL DR, SUITE 100, VICTORIA, TX 77901(361) 579-4700(361) 574-1552 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary F Cox Md NPPES

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

GARY F COX MD (NPI 1922045095) is an individual dermatology provider in Victoria, Texas, licensed in Texas (E4273) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 23, 2027, and is a graduate of University Of Texas Medical School At San Antonio (1975).

NPPES Registry Identity

NPI1922045095
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameGARY F COXCredential: MD
Location Address2705 HOSPITAL DR, SUITE 100Victoria, TX 77901-5775
Mailing Address2705 Hospital Dr, Suite 100Victoria, TX 77901-5775 · (361) 579-4700 · Fax (361) 574-1552
Fax(361) 574-1552
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1975
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedMay 13, 2021
NPI 1922045095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · E4273
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2705 HOSPITAL DR, Victoria, TX 77901

Other Identifiers 1

Medicaid034183601TX

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

Gary F 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 ID6406934660
PECOS Enrollment IDI20080429000289
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0498664

Gary F Cox MD PA · Victoria, TX
Active · expires Aug 23, 2027
CLIA Number45D0498664
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorGary F. Cox
Laboratory Phone(361) 579-4700
Laboratory LocationGary F Cox MD PA2705 Hospital Dr Ste 100, Victoria, TX 77901
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 58

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 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.
2,150 services1,294 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
757 services582 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
670 services543 patients
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.
620 services427 patients
High dose rate electronic brachytherapy, external 0394T
High Dose Rate Electronic Brachytherapy (HDR EBT) is a precise form of radiation therapy. It involves placing a tiny source of radiation directly into the area needing treatment. This allows a high dose of radiation to be delivered directly to the area, while reducing exposure to surrounding healthy tissues.
459 services43 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
459 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77901 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%284 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
2%14,633 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%4,503 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
20%1,258 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%4,040 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%3,271 patients4/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%4,040 patients4/55-star benchmark: 100%
Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier
Percentage of patients whose providers are ensuring active tuberculosis prevention either through yearly negative standard tuberculosis screening tests or are reviewing the patient's history to determine if they have had appropriate management for a recent or…
100%180 patients
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 20

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

Physician Assistant
2705 HOSPITAL DR, SUITE 100
VICTORIA, TX 77901
Urology
2705 HOSPITAL DR, STE 402
VICTORIA, TX 77901
Podiatrist (Foot & Ankle Surgery)
2705 HOSPITAL DR, STE 212
VICTORIA, TX 77901
Pain Medicine (Pain Medicine)
2705 HOSPITAL DR, STE 206
VICTORIA, TX 77901
Internal Medicine
2705 HOSPITAL DR, STE. 101
VICTORIA, TX 77901
Dermatology
2705 HOSPITAL DR, SUITE 100
VICTORIA, TX 77901
Surgery
2705 HOSPITAL DR, SUITE 400
VICTORIA, TX 77901
Podiatrist (Foot & Ankle Surgery)
2705 HOSPITAL DR, STE. 212
VICTORIA, TX 77901

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 Gary Cox's NPI number?

The NPI number for Gary Cox is 1922045095. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Gary Cox located?

Gary Cox practices at 2705 Hospital Dr Suite 100, Victoria, TX 77901. The listed phone number is (361) 579-4700.

What is Gary Cox's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Gary Cox enrolled in Medicare?

Yes. Gary 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.

Does Gary Cox hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0498664) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gary Cox accept?

Health plans from CHRISTUS Health Plan and UnitedHealthcare list Gary 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 Gary Cox was last updated on October 24, 2022. 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.