NPPES file of Aug 9, 2026

Nathan R. Cox, M.D.

Hospitalist Physician · Santa Monica, CA

Nathan R. Cox, M.D. is a hospitalist physician with a practice address in Santa Monica, California, and NPI 1912173378, issued on May 6, 2008. Check the license (California A116263, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1912173378
Name
Nathan R. Cox
Credential
M.D.
Primary taxonomy
Hospitalist Physician 208M00000X
License number
A116263 CA
Self-reported in NPPES; status is on the state search
Practice location
1250 16TH St, Santa Monica, CA 90404
Phone
(310) 319-4698
Enumerated
May 6, 2008
Record last updated
Mar 22, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(310) 319-4908
Medicaid ID
1912173378 CA
Medicare enrollment
Enrolled (PECOS I20110524000388); accepts Medicare assignment
Medical or professional school
Washington University School Of Medicine, 2008
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1250 16TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Melanie Altamirano-CariagaNurse Practitioner1588060198
  2. Miguel Arellano, NPNurse Practitioner1295460806
  3. Jason Bahk, M.D.Hospitalist Physician1245573187
  4. Christopher BelfourEmergency Medicine Physician1518259837
  5. Umesh Bhagia, MDSurgery Physician1568468528
  6. Cassandra Blaylock, NPHematology & Oncology Physician1588043400

Verify Nathan R. Cox in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A116263
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

90% fewer Medicare Part D claims than the average hospitalist physician in 2024

53 Medicare Part D claims for 25 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D.

  1. Nathan Cox53
  2. Specialty average521

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 86.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.9
  2. Costout of 100 · 30%66.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $18.09

1 payment: education; the largest payer was Merck Sharp & Dohme LLC. The 7,324 providers of this specialty with any payment received $494.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nathan Cox$18.09
  2. Specialty average$494.84

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. The Regents OF The University OF CaliforniaSanta Monica, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nathan R. Cox among 3,099 hospitalist physician records in California

Nathan R. Cox, M.D. is one of 3,099 hospitalist physician records with a practice address in California. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 34% of them.

  • NPI issued2008 · 34% of these records are older, 61% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 81% of these records are
  • Graduated2008 · median 2010 among the 2,505 with a school on file
  • Record last updated2017 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

96 hospitalist physician records list a practice address in Santa Monica

They are 96 of the 5,151 NPPES records with a practice address in Santa Monica, and 3,099 hospitalist physician records in California.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Spencer Adams, MDSanta Monica, CA 904041487688198
  2. Erin Dowling, M.D.Santa Monica, CA 904041568645901
  3. Retha GoodglickSanta Monica, CA 904041396994034
  4. Adela Greeley, M.D.Santa Monica, CA 904041205968492
  5. David Kagan, MDSanta Monica, CA 904041992965768
  6. Russell KerbelSanta Monica, CA 904041164699203
  7. Mike La, M.D.Santa Monica, CA 904041790949535
  8. Eyong Ly, MDSanta Monica, CA 904041053575886

Common questions

What is Nathan R. Cox, M.D.'s NPI number?

Nathan R. Cox, M.D.'s National Provider Identifier (NPI) is 1912173378, issued on May 6, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Nathan R. Cox, M.D. located?

The NPPES record lists a practice address at 1250 16TH St, Santa Monica, CA, 90404. Phone: (310) 319-4698. Providers update this record themselves, so call before visiting.

How can I verify Nathan R. Cox, M.D.'s license?

NPPES lists California license number A116263, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nathan R. Cox, M.D. prescribe under Medicare Part D?

In 2024, Nathan R. Cox, M.D. had 53 Medicare Part D claims for 25 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Nathan R. Cox, M.D.'s MIPS final score?

The 2023 MIPS final score is 86.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.