2026 NPPES data Urology Physician NPI 1093904823 MD
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Justin Cox, MD

Urology Physician in Cincinnati, Ohio. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
416
Medicare Part D claims · 225 beneficiaries · Urology Physician avg: 1K
MIPS score
92.5/100
▲ 9 pts above national avg 83.1 · Exceptional
Industry payments
$6.0K
29 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Justin Cox, MD reported a CMS MIPS final score of 92.5/100 - above the 83.1 national average - and filed 416 Medicare Part D claims in 2023.

92.5/100
MIPS score · +9 vs avg
416
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.

Justin Cox, MD's MIPS score vs every scored U.S. clinician

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

93 Top 32% higher than 68% 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+: 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

Where Justin Cox, MD sits

This provider among urology physician peers

Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Cox, MD writes more Part D claims than 19% of them and scores higher on MIPS quality than 67% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Justin Cox, MD-Part D claim volume, percentile in specialty: 19 · MIPS quality, percentile: 67
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Justin Cox, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Justin Cox, MD 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 Justin Cox, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/17/2007

NPI 1093904823

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

416 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

92.5/100 9.4 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Urology Physician compares to other specialties among Ohio providers

Ohio providers

Largest specialties in Ohio (% of in-state providers)

Case Manager/Care Coordinator - 10.9%Case Manager/Care Coordinator10.9%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Licensed Practical Nurse - 4%Licensed Practical Nurse4%Addiction (Substance Use Disorder) Counselor - 3.5%Addiction (Substance Use Disorder) Counselor3.5%Registered Nurse - 3.4%Registered Nurse3.4%Pharmacist - 3.4%Pharmacist3.4%Urology Physician - 0.2%Urology Physician0.2%
Largest specialties in Ohio (% of in-state providers)

Medicare quality performance, MIPS

Justin Cox, MD's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
92.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) - 92.5/100 vs national avg 83.1

0%100%National avg83%92.5%
MIPS final score (Urology Physician) - 92.5/100 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).

Justin Cox, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 2123 AUBURN AVE, Cincinnati, OH, 45219, with a listed phone of (513) 721-7373. NPI 1093904823 was issued on 10/17/2007. 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 416 prescription claims written by this provider, covering 225 Medicare beneficiaries and totaling roughly $86K in drug spend, with an opioid prescribing rate of 11.5%. 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 92.5/100 for the 2023 performance year (Quality 97.3, Cost 77.9), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

2123 AUBURN AVE
Cincinnati, OH 45219

Provider Details

NPI 1093904823
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 10/17/2007

CMS Quality Score (MIPS)

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

92.5398
Final Score
Avg: 83.1
97.2607
Quality
77.8719
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Justin Cox, MD 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.

Christ Hospital Medical Specialists LLC
Cincinnati, OH

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 Justin Cox, MD. Source: openpaymentsdata.cms.gov.

Total received

$6.0K

Largest payer

INTUITIVE SURGICAL, 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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Justin Cox, MD. To verify Justin Cox, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio 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.

416
Total Claims
$86K
Total Drug Cost
225
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
867
Total Day Supply
22,580
Generic Drug Cost
$7K
Opioid Claims
48 (11.5% rate)
Antibiotic Claims
71

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.29
Gender Split
17% female / 83% male
Age Distribution
<65: 14, 65-74: 115, 75-84: 78, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What Justin Cox, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tamsulosin Hcl
112
Finasteride
49
Ciprofloxacin Hcl
29
Myrbetriq
Mirabegron
23
Oxybutynin Chloride Er
Oxybutynin Chloride
22
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
22
Levofloxacin
17
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Tadalafil
13
Testosterone Cypionate
13

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

Urology Physician Overview

How Justin Cox, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

Justin Cox, MD's 416 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Ohio

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Justin Cox, MD's specialty?
Justin Cox, MD specializes in Urology Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does Justin Cox, MD prescribe under Medicare Part D?
In 2023, Justin Cox, MD wrote 416 Medicare Part D claims totaling $86K in drug costs for 225 beneficiaries.
What is Justin Cox, MD's Medicare quality score?
Justin Cox, MD has a CMS MIPS Final Score of 92.5/100 (Quality: 97.3, Cost: 77.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Cox, MD located?
Justin Cox, MD is located at 2123 AUBURN AVE, Cincinnati, OH, 45219. Phone: (513) 721-7373.
What is Justin Cox, MD's NPI number?
Justin Cox, MD's National Provider Identifier (NPI) is 1093904823, issued on 10/17/2007.
Does Justin Cox, MD prescribe opioids?
Yes, Justin Cox, MD had 48 opioid claims in 2023 with an opioid prescribing rate of 11.5%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Justin Cox, MD prescribe most often?
Based on 2023 Medicare Part D data, Justin Cox, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Cox, MD accept Medicare?
Justin Cox, MD appears in CMS Medicare data with 416 Part D claims and 225 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Cox, MD's credentials?
Justin Cox, MD's NPI is 1093904823 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.