CARLEEN E COX
NPI 1982218970
Nurse Practitioner - Family in Cambridge, MA

Active since September 07, 2020PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-2051 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2021, Sep 7, 2020 (2 updates tracked since 2020).

About Carleen E Cox NPPES

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

CARLEEN E COX (NPI 1982218970) is an individual family provider in Cambridge, Massachusetts, licensed in Massachusetts (RN2268877) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1982218970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLEEN E COX
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1099
Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 667-2051
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 7, 2020
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1982218970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2268877
1493 CAMBRIDGE ST, Cambridge, MA 02139

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

Carleen E Cox 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 ID2264849405
PECOS Enrollment IDI20210406000103
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

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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139

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 Carleen Cox's NPI number?

The NPI number for Carleen Cox is 1982218970. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Where is Carleen Cox located?

Carleen Cox practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-2051.

What is Carleen Cox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carleen Cox enrolled in Medicare?

Yes. Carleen 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 Carleen Cox accept?

Health plans from Anthem Blue Cross and Blue Shield list Carleen 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 Carleen Cox was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.