Tonya Cox
NPI 1316480601 · Family Nurse Practitioner · Altoona, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tonya Cox is a Family Nurse Practitioner provider in Altoona, PA (NPI 1316480601).
Provider details
- NPI number
- 1316480601
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP016839 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
191 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 104 | $104 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 63 | $13 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 24 | $28 |
Typical Medicare-allowed amounts for these services range $13–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 58 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 431 | 116 |
| Levothyroxine Sodium | 424 | 134 |
| Metformin Hclbrand: Metformin Hcl Er | 319 | 104 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 240 | 71 |
| Atorvastatin Calcium | 191 | 61 |
| Tirzepatidebrand: Mounjaro | 186 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$891 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-11-18
- Last updated
- 2021-05-24
Frequently asked questions
- What is Tonya Cox's NPI number?
- Tonya Cox's National Provider Identifier (NPI) is 1316480601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tonya Cox's specialty?
- Tonya Cox is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tonya Cox located?
- Tonya Cox's practice location on file with NPPES is 1414 9th Ave, Altoona, PA 16602-2415.
- What is Tonya Cox's phone number?
- The practice phone number listed in the NPPES registry for Tonya Cox is (814) 946-7593.
- Does Tonya Cox accept Medicare?
- Tonya Cox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tonya Cox's NPI active?
- Yes — Tonya Cox's NPI (1316480601) is active in the NPPES registry as of the last update on 2021-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.