Eric Cox, DO
NPI 1568968956 · Otolaryngology Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eric Cox, DO is a Otolaryngology Physician provider in Grand Rapids, MI (NPI 1568968956).
Provider details
- NPI number
- 1568968956
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101025715 (MI)
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
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
126 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 52 | $130 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 41 | $92 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 18 | $67 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $128 |
Typical Medicare-allowed amounts for these services range $67–$130 (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 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 52 | 25 |
| Omeprazole | 48 | 14 |
| Fluticasone Propionate | 45 | 23 |
| Levocetirizine Dihydrochloride | 41 | 12 |
| Ipratropium Bromide | 38 | 22 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 27 | 24 |
| Mupirocin | 24 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$321 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
Additional practice locations (2)
- 5900 Byron Center Ave SwWyoming, MI 49519-9606Phone: (616) 252-7200
- 2093 Health Dr SwWyoming, MI 49519-9691Phone: (616) 252-7200
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2023-08-03
- Certified
- 2023-06-11
Frequently asked questions
- What is Eric Cox's NPI number?
- Eric Cox's National Provider Identifier (NPI) is 1568968956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eric Cox's specialty?
- Eric Cox is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Eric Cox located?
- Eric Cox's practice location on file with NPPES is 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149.
- What is Eric Cox's phone number?
- The practice phone number listed in the NPPES registry for Eric Cox is (616) 252-5760.
- Does Eric Cox accept Medicare?
- Eric Cox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eric Cox's NPI active?
- Yes — Eric Cox's NPI (1568968956) is active in the NPPES registry as of the last update on 2023-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.