NPI registry status
Active
2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1154395580 DO
Verify on CMS → Barbara Cox, DO
Addiction Medicine (Preventive Medicine) Physician in Augusta, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 343 in Addiction Medicine (Preventive Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
175
Medicare Part D claims · Addiction Medicine (Preventive Medicine) Physician avg: 929
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Barbara Cox, DO filed 175 Medicare Part D claims in 2024 as an Addiction Medicine (Preventive Medicine) Physician in Augusta, Maine, prescribing 83% generic.
- 175
- Part D claims, 2024
- 83%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Barbara Cox, DO
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1154395580), first enumerated 02/14/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 175 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1154395580 · Addiction Medicine (Preventive Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1154395580
- ENUM-LEGACY 2006
- TAX-TRACE 343
- RX-LIGHT 175
- BOOK-THIN 10 in Maine
- PHOTO-ENUM John Culclasure, M.D. · 2006
Barbara Cox, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
175 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Barbara Cox, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Barbara Cox, DO?
Quality data not reportedPrimary specialty
Addiction Medicine (Preventive Medicine) Physician
Medicare Part D claims
175 81% vs specialty avg
Specialty distribution in Maine
How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Maine providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Addiction Medicine (Preventive Medicine) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1154395580 |
|---|---|
| Specialty | Addiction Medicine (Preventive Medicine) Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 02/14/2006 |
Hospital and facility affiliations
Facilities where Barbara Cox, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Recover Together Inc
Houlton, ME
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Barbara Cox, DO - brand share 17.0%
Addiction Medicine (Preventive Medicine) Physician average
17% brand-name claims vs 83% generic, on 175 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
175
Total Claims
$14K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 175
- Total Day Supply
- 1,832
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $11K
Patient Demographics
- Average Patient Age
- 48.7 years
- Avg HCC Risk Score
- 0.91
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 143 |
| Zubsolv Buprenorphine Hcl/Naloxone Hcl | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Preventive Medicine) Physician in ME →
All providers in Maine →
Compare specialties →
Addiction Medicine (Preventive Medicine) Physician Overview
How Barbara Cox, DO fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.
343
Addiction Medicine (Preventive Medicine) Physician Providers in US
46
States with Addiction Medicine (Preventive Medicine) Physician
929
Avg Claims per Provider
Barbara Cox, DO's 175 claims are below the specialty average of 929.
Nationwide Addiction Medicine (Preventive Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Cox, both outside Maine so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Cox.
One of 10 Addiction Medicine (Preventive Medicine) Physician providers enrolled in Maine, 5 are shown here.
Frequently Asked Questions
What is Barbara Cox, DO's specialty? ▼
Barbara Cox, DO specializes in Addiction Medicine (Preventive Medicine) Physician and practices in Augusta, Maine. Credentials: DO.
How much does Barbara Cox, DO prescribe under Medicare Part D? ▼
In 2024, Barbara Cox, DO wrote 175 Medicare Part D claims totaling $14K in drug costs for N/A beneficiaries.
Where is Barbara Cox, DO located? ▼
Barbara Cox, DO is located at 24 STONE ST STE 203, Augusta, ME, 04330. Phone: (207) 623-8411.
What is Barbara Cox, DO's NPI number? ▼
Barbara Cox, DO's National Provider Identifier (NPI) is 1154395580, issued on 02/14/2006.
Does Barbara Cox, DO prescribe more brand-name or generic drugs? ▼
Barbara Cox, DO's prescribing is 17% brand-name and 83% generic drugs by claim count, with $3K in brand drug costs.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US? ▼
There are 343 Addiction Medicine (Preventive Medicine) Physician providers across 46 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 929 Medicare Part D claims per year.
What drugs does Barbara Cox, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, Barbara Cox, DO's most frequently prescribed drugs include Buprenorphine-Naloxone, Zubsolv. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Barbara Cox, DO accept Medicare? ▼
Barbara Cox, DO appears in CMS Medicare data with 175 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Barbara Cox, DO's credentials? ▼
Barbara Cox, DO's NPI is 1154395580 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.