2026 NPPES data Otolaryngology Physician NPI 1568968956 DO
Verify on CMS →

ERIC COX, DO

Otolaryngology Physician in GRAND RAPIDS, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
103
Medicare Part D claims · 55 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
99.0443/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$321.21
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ERIC COX, DO reported a CMS MIPS final score of 99.0443/100 — above the 83.1 national average — and filed 103 Medicare Part D claims in 2023.

99.0443/100
MIPS score · +16 vs avg
103
Part D claims, 2023
Likely
board-certified (heuristic)

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.

ERIC COX, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

99 Top 9% higher than 91% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ERIC COX, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 ERIC COX, DO?

High performer (top quartile)

NPI registry status

Active

Issued 04/04/2018

NPI 1568968956

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

103 80% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

99.0443/100 15.944300000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Michigan

How Otolaryngology Physician compares to other specialties among Michigan providers

Michigan providers

Otolaryngology Physician share within Michigan

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Michigan

Medicare quality performance — MIPS

ERIC COX, DO's 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
99.0443/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 99.0443/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Otolaryngology Physician) — 99.0443/100 vs national avg 83.1

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).

ERIC COX, DO is a Otolaryngology Physician provider practicing in GRAND RAPIDS, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1568968956. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ERIC COX, DO appears in the CMS NPPES registry as a Otolaryngology Physician provider holding DO credentials at 4055 CASCADE RD SE, GRAND RAPIDS, MI, 49546, with a listed phone of (616) 252-5760. NPI 1568968956 was issued on 04/04/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COX most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 103 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.0443/100 for the 2023 performance year (Quality 83.8745), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4055 CASCADE RD SE
GRAND RAPIDS, MI 49546

Provider Details

NPI 1568968956
Specialty Otolaryngology Physician
Credentials DO
Gender Male
NPI Issued 04/04/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

99.0443
Final Score
Avg: 83.1
83.8745
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ERIC 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.

METROPOLITAN HOSPITAL
GRAND RAPIDS, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ERIC COX, DO. Source: openpaymentsdata.cms.gov.

Total received

$321

Largest payer

Inspire Medical Systems, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to ERIC COX, DO. To verify ERIC COX, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

103
Total Claims
$2K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
141
Total Day Supply
3,466
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.31
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Famotidine
17
Fluticasone Propionate
13
Ipratropium Bromide
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How ERIC COX, DO fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

ERIC COX, DO's 103 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as COX.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERIC COX, DO's specialty?
ERIC COX, DO specializes in Otolaryngology Physician and practices in GRAND RAPIDS, Michigan. Credentials: DO.
How much does ERIC COX, DO prescribe under Medicare Part D?
In 2023, ERIC COX, DO wrote 103 Medicare Part D claims totaling $2K in drug costs for 55 beneficiaries.
What is ERIC COX, DO's Medicare quality score?
ERIC COX, DO has a CMS MIPS Final Score of 99.0443/100 (Quality: 83.8745). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERIC COX, DO located?
ERIC COX, DO is located at 4055 CASCADE RD SE, GRAND RAPIDS, MI, 49546. Phone: (616) 252-5760.
What is ERIC COX, DO's NPI number?
ERIC COX, DO's National Provider Identifier (NPI) is 1568968956, issued on 04/04/2018.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does ERIC COX, DO prescribe most often?
Based on 2023 Medicare Part D data, ERIC COX, DO's most frequently prescribed drugs include Famotidine, Fluticasone Propionate, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERIC COX, DO accept Medicare?
ERIC COX, DO appears in CMS Medicare data with 103 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIC COX, DO's credentials?
ERIC COX, DO's NPI is 1568968956 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

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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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 April 2026 (NPPES) / 2023 (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