NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1891129326 PA-C
Verify on CMS → Michele Cox, PA-C
Surgical Physician Assistant in Parker, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,380 in Surgical Physician Assistant, 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
368
Medicare Part D claims · 132 beneficiaries · Surgical Physician Assistant avg: 341
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9/100
▼ 1 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Michele Cox, PA-C reported a CMS MIPS final score of 82.9/100 - below the 83.5 national average - and filed 368 Medicare Part D claims in 2024.
- 82.9/100
- MIPS score · -1 vs avg
- 368
- Part D claims, 2024
- 95%
- generic prescribing
- ≥36th
- pct among measured MIPS (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 Michele Cox, PA-C
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1891129326), first enumerated 09/03/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 368 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 82.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- 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 1891129326 · Surgical Physician Assistant
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1891129326
- ENUM-MID 2013
- TAX-MID 16K Surgical Physician
- MIPS-INLINE 82.9/100
- RX-LIGHT 368
- BOOK-LIGHT 552 in Colorado
- PHOTO-FINISH Thomas Heiser · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Cox · this provi…
Cox · this provider
82.9 MIPS pts
- Richard Zimm · h…
Richard Zimm
82.9 MIPS pts
- Mara Immediato ·…
Mara Immediato
82.9 MIPS pts
- Emily Kistler · …
Emily Kistler
82.9 MIPS pts
- Thomas Heiser · …
Thomas Heiser
82.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Michele Cox, PA-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michele Cox, PA-C sits
This provider among surgical physician assistant peers
Across the 3,657 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Michele Cox, PA-C writes more Part D claims than 78% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Michele Cox, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Michele Cox, PA-C?
Near national averagePrimary specialty
Surgical Physician Assistant
Medicare Part D claims
368 8% vs specialty avg
MIPS final score
82.9/100 0.6 pts vs avg
Specialty distribution in Colorado
How Surgical Physician Assistant compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Michele Cox, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 82.9/100
- vs 83.5 national avg · 2023 performance year
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 | 1891129326 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 09/03/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.9468
Final Score
Measured-score avg: 83.5
85.0693
Quality
66.4199
Cost
90
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michele Cox, PA-C 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.
Panorama Orthopedics And Spine Center PC
Golden, CO
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 · Generic-heavy
Michele Cox, PA-C - brand share 5.0%
Surgical Physician Assistant average
5% brand-name claims vs 95% generic, on 368 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.
368
Total Claims
$6K
Total Drug Cost
132
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 368
- Total Day Supply
- 5,504
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $3K
- Opioid Claims
- 148 (40.2% rate)
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 1.00
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Michele Cox, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
72 claims
- Pantoprazole Sodium
Pantoprazole Sodium
59 claims
- Tramadol Hcl
Tramadol Hcl
55 claims
- Celecoxib
Celecoxib
53 claims
- Ondansetron Hcl
Ondansetron Hcl
36 claims
- Meloxicam 21
Meloxicam
21 claims
- Methocarbamol 20
Methocarbamol
20 claims
- Hydromorphone Hcl 16
Hydromorphone Hcl
16 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 72 |
| Pantoprazole Sodium | 59 |
| Tramadol Hcl | 55 |
| Celecoxib | 53 |
| Ondansetron Hcl | 36 |
| Meloxicam | 21 |
| Methocarbamol | 20 |
| Hydromorphone Hcl | 16 |
| Eliquis Apixaban | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Michele Cox, PA-C fits within the Surgical Physician Assistant landscape nationally.
16,380
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
341
Avg Claims per Provider
Michele Cox, PA-C's 368 claims are above the specialty average of 341.
Nationwide Surgical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Cox, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.9 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgical Physician Assistant Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Cox.
One of 552 Surgical Physician Assistant providers enrolled in Colorado, 5 are shown here.
Daniel Adams
PA-C
Aurora, CO
Nathan Adams
PA-C
Thornton, CO
Tara Adams
MSPAS, PA-C
Boulder, CO
Addison Adzema
Aspen, CO
Martin Aguilar
PA-C
Parker, CO
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Michele Cox, PA-C's specialty? ▼
Michele Cox, PA-C specializes in Surgical Physician Assistant and practices in Parker, Colorado. Credentials: PA-C.
How much does Michele Cox, PA-C prescribe under Medicare Part D? ▼
In 2024, Michele Cox, PA-C wrote 368 Medicare Part D claims totaling $6K in drug costs for 132 beneficiaries.
What is Michele Cox, PA-C's Medicare quality score? ▼
Michele Cox, PA-C has a CMS MIPS Final Score of 82.9/100 (Quality: 85.1, Cost: 66.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michele Cox, PA-C located? ▼
Michele Cox, PA-C is located at 12230 LIONESS WAY, Parker, CO, 80134. Phone: (720) 644-9355.
What is Michele Cox, PA-C's NPI number? ▼
Michele Cox, PA-C's National Provider Identifier (NPI) is 1891129326, issued on 09/03/2013.
Does Michele Cox, PA-C prescribe more brand-name or generic drugs? ▼
Michele Cox, PA-C's prescribing is 5% brand-name and 95% generic drugs by claim count, with $4K in brand drug costs.
Does Michele Cox, PA-C prescribe opioids? ▼
Yes, Michele Cox, PA-C had 148 opioid claims in 2024 with an opioid prescribing rate of 40.2%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,380 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 341 Medicare Part D claims per year.
What drugs does Michele Cox, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Michele Cox, PA-C's most frequently prescribed drugs include Oxycodone Hcl, Pantoprazole Sodium, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michele Cox, PA-C accept Medicare? ▼
Michele Cox, PA-C appears in CMS Medicare data with 368 Part D claims and 132 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michele Cox, PA-C's credentials? ▼
Michele Cox, PA-C's NPI is 1891129326 with credentials PA-C. 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.
- 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 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.