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Dr. Marcus F Cox , MD

Surgery • Lima, OH

Active NPI 1053313171 Individual Practitioner Male Practitioner
Practice location in NPPES

1005 Bellefontaine Ave, Suite 260
Lima, OH 458042851

Call 4199988250 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1005 Bellefontaine Ave
Suite 260

Lima, OH 458042851

Telephone 4199988250
Fax 4199988251
Organization at the Same NPPES Address or Phone
Lima Family Care Inc Facility NPI 1366495863

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $80,440 in 2019

The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

Paid by Medicare

About $61,920 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

30-day fills

11 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$3,196 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $76.66 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lima and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Cox are from 2019.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Cox are from 2019.

14 active clinicians are listed under Surgery with a practice address in Lima, OH (1,249 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lima

0% of these 14 clinicians have the CMS telehealth indicator.

71.4% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $76.66.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Stingray General $76.66

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B · Data Year 2019
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
372 125 $175.58 $50.34
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
363 34 $114.00 $26.69
11042 Removal of skin and tissue, 20.0 sq cm or less
341 117 $248.00 $60.02
97598 Removal of tissue from wound, each additional 20.0 sq cm
119 18 $46.00 $11.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
90 90 $304.00 $74.01
97597 Removal of tissue from wound, 20.0 sq cm or less
75 47 $98.00 $23.89
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less
60 11 $229.00 $56.47
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
51 32 $637.00 $149.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31 31 $520.00 $124.54
11044 Removal of bone, 20.0 sq cm or less
19 14 $952.00 $230.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 15 $312.00 $77.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
17 15 $101.00 $25.21
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
14 14 $198.00 $50.00

Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Santyl Collagenase Clostridium Hist. 11 190 $3,195.95 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES OH 082114

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

License # reported to NPPES OH 82114

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

License # reported to NPPES OH 082114

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2410993 (OH)
Other Identifier Railroad Medicare
P00185444 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Judy Brenek , RN, CNP

Nurse Practitioner

NPI 1811922024

Registered Nurse, Certified Nurse Practitioner

Dr. Iyabo Iboaya , MD

Family Medicine

NPI 1508846783

Doctor of Medicine (M.D.)

Stacy Klass , CNP

Nurse Practitioner - Family

NPI 1003196114

Certified Nurse Practitioner

Nasim Mastouri

Internal Medicine - Nephrology

NPI 1710121132
Dr. Jennifer Niesen , DO

Obstetrics & Gynecology

NPI 1497806897

Doctor of Osteopathic Medicine (D.O.)

Dr. Sirish Parvathaneni , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1659360915

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
âś…
NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 05, 2011

Registered at 1005 BELLEFONTAINE AVE, SUITE 260, LIMA, OH 458042851 (Tel: 4199988250)

📍
Business Mailing Address (Initial Record) October 05, 2011

Registered at 1005 BELLEFONTAINE AVE, SUITE 260, LIMA, OH 458042851 (Tel: 4199988250)

👤
Provider Name / Credentials (Initial Record) October 05, 2011

Recorded as MARCUS COX, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Surgery (license number reported to NPPES: OH 082114)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Surgery (license number reported to NPPES: OH 82114)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053313171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: October 05, 2011
Sole Proprietor: No

Other Surgery Specialists in Lima

All Surgery Specialists in Lima

Mailing Address

1005 Bellefontaine Ave, Suite 260

Lima, OH 458042851

Phone: 4199988250

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.