CAROL AKERS COX MD
NPI 1922427871
Obstetrics & Gynecology in Breckenridge, CO

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
16172 HIGHWAY 9, BRECKENRIDGE, CO 80424(970) 423-8840(970) 423-8850 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2021, Oct 19, 2020, Oct 13, 2020 and 2 more (5 updates tracked since 2018).

About Carol Akers Cox Md NPPES

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

CAROL AKERS COX MD (NPI 1922427871) is an individual obstetrics & gynecology provider in Breckenridge, Colorado, licensed in Colorado (DR0066810) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1922427871
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAROL AKERS COXCredential: MD
Location Address16172 HIGHWAY 9Breckenridge, CO 80424-8959
Mailing Address16172 Highway 9Breckenridge, CO 80424-8959 · (970) 423-8840 · Fax (970) 423-8850
Fax(970) 423-8850
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 8, 2014
Last NPPES UpdateNovember 9, 20215 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1922427871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CO · DR0066810✔ Licensed in KY · 51246
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
16172 HIGHWAY 9, Breckenridge, CO 80424

Other Identifiers 1

Medicaid9000197336CO

Accepted 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

Carol Akers 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 ID244546745
PECOS Enrollment IDI20211202000361, I20260314000369
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

3

Medicare enrollment records show Carol Cox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
16172 HIGHWAY 9
Breckenridge, CO 80424
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Swan Mountain Womens Center PC
  • 7 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group

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

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.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80424 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 5

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

Obstetrics & Gynecology
16172 HIGHWAY 9
BRECKENRIDGE, CO 80424
Obstetrics & Gynecology
16172 HIGHWAY 9, SWAN MOUNTAIN WOMEN'S CENTER
BRECKENRIDGE, CO 80424
Obstetrics & Gynecology
16172 HIGHWAY 9
BRECKENRIDGE, CO 80424
Family Medicine
16172 HIGHWAY 9
BRECKENRIDGE, CO 80424
Obstetrics & Gynecology
16172 HIGHWAY 9
BRECKENRIDGE, CO 80424

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 Carol Cox's NPI number?

The NPI number for Carol Cox is 1922427871. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Carol Cox located?

Carol Cox practices at 16172 Highway 9, Breckenridge, CO 80424. The listed phone number is (970) 423-8840.

What is Carol Cox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carol Cox enrolled in Medicare?

Yes. Carol 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 Carol Cox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Cox reassigns Medicare benefits to 3 organizations: Swan Mountain Women's Center, PC (Breckenridge, CO), Multicare Health System (Spokane Valley, WA) and Community Medical Associates, Inc. (Louisville, KY). 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 Carol Cox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Cox accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carol 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 Carol Cox affiliated with any hospitals?

According to CMS data, Carol Cox is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Carol Cox was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.