Cheryl Cox, M.D.
NPI 1316934961 · Gastroenterology Physician · South Charleston, WV
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cheryl Cox, M.D. is a Gastroenterology Physician provider in South Charleston, WV (NPI 1316934961).
Provider details
- NPI number
- 1316934961
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 18445 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
338 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 56 | $106 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 49 | $239 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 39 | $181 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 38 | $34 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $64 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 102 | 44 |
| Omeprazole | 55 | 23 |
| Famotidine | 51 | 22 |
| Esomeprazole Magnesium | 19 | — |
| Dicyclomine Hcl | 19 | — |
| Budesonidebrand: Budesonide Dr | 15 | — |
| Ustekinumabbrand: Stelara | 15 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$84 across 4 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
- 2005-09-29
- Last updated
- 2020-04-29
- Certified
- 2020-04-29
Frequently asked questions
- What is Cheryl Cox's NPI number?
- Cheryl Cox's National Provider Identifier (NPI) is 1316934961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cheryl Cox's specialty?
- Cheryl Cox is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Cheryl Cox located?
- Cheryl Cox's practice location on file with NPPES is 4607 Maccorkle Ave Sw Ste 406, South Charleston, WV 25309-1364.
- What is Cheryl Cox's phone number?
- The practice phone number listed in the NPPES registry for Cheryl Cox is (304) 766-4342.
- Does Cheryl Cox accept Medicare?
- Cheryl Cox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cheryl Cox's NPI active?
- Yes — Cheryl Cox's NPI (1316934961) is active in the NPPES registry as of the last update on 2020-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.