2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1245214303 M.D.
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STEVEN COX, M.D.

Addiction Medicine (Preventive Medicine) Physician in LANCASTER, Ohio. 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
72
Medicare Part D claims · 30 beneficiaries · Addiction Medicine (Preventive Medicine) Physician avg: 959
MIPS score
71.2342/100
▼ 12 pts below national avg 83.1 · [object Object]
Industry payments
$135.96
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: STEVEN COX, M.D. is a Addiction Medicine (Preventive Medicine) Physician ([object Object]) practicing in LANCASTER, Ohio with a Medicare Part D prescribing footprint of 72 claims across 30 beneficiaries . Their CMS MIPS Final Score of 71.2342/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $135.96 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: STEVEN COX, M.D. reported a CMS MIPS final score of 71.2342 out of 100, below the 83.1 national average, and filed 72 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

STEVEN COX, M.D. 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).

STEVEN COX, M.D. at a glance

Below national average

NPI registry status

Active

Issued 12/02/2005

NPI 1245214303

Primary specialty

Addiction Medicine (Preventive Medicine) Physician

Rare

321 US NPIs in this specialty

Medicare Part D claims

72 92% vs specialty avg

2023 prescription claims

Specialty avg: 959

MIPS final score

71.2342/100 11.865799999999993% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Ohio

How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Ohio providers

Ohio providers

Addiction Medicine (Preventive Medicine) Physician share within Ohio

1. Addiction Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Preventive Medicine) Physician share within Ohio

Medicare quality performance — MIPS

STEVEN COX, M.D.'s 2023 MIPS final score plotted against the Addiction Medicine (Preventive Medicine) Physician national average

Below national average
MIPS Final Score
71.2342/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Preventive Medicine) Physician) — 71.2342/100 vs national avg 83.1

0%100%National avg83%71.2%
MIPS final score (Addiction Medicine (Preventive Medicine) Physician) — 71.2342/100 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).

STEVEN COX, M.D. is a Addiction Medicine (Preventive Medicine) Physician provider practicing in LANCASTER, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1245214303. 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.

STEVEN COX, M.D. appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding M.D. credentials at 1231 E MAIN ST, LANCASTER, OH, 43130, with a listed phone of (740) 689-4938. NPI 1245214303 was issued on 12/02/2005. 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 72 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $7K 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 71.2342/100 for the 2023 performance year (Quality 52.7297, Cost 58.6919), compared with the national average of 83.1.

Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 321 enrolled providers across 44 states and an average of 959 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

1231 E MAIN ST
LANCASTER, OH 43130

Provider Details

NPI 1245214303
Specialty Addiction Medicine (Preventive Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 12/02/2005

CMS Quality Score (MIPS)

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

71.2342
Final Score
Avg: 83.1
52.7297
Quality
58.6919
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where STEVEN COX, M.D. 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.

FAIRFIELD HEALTHCARE PROFESSIONALS INC
LANCASTER, 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 STEVEN COX, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$136

Largest payer

GENZYME CORPORATION

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 STEVEN COX, M.D.. To verify STEVEN COX, M.D.'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.

72
Total Claims
$7K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
88
Total Day Supply
2,215
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.55

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
12

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

Addiction Medicine (Preventive Medicine) Physician Overview

How STEVEN COX, M.D. fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.

321
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider

STEVEN COX, M.D.'s 72 claims are below the specialty average of 959.

Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Ohio

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

Compare Addiction Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEVEN COX, M.D.'s specialty?
STEVEN COX, M.D. specializes in Addiction Medicine (Preventive Medicine) Physician and practices in LANCASTER, Ohio. Credentials: M.D..
How much does STEVEN COX, M.D. prescribe under Medicare Part D?
In 2023, STEVEN COX, M.D. wrote 72 Medicare Part D claims totaling $7K in drug costs for 30 beneficiaries.
What is STEVEN COX, M.D.'s Medicare quality score?
STEVEN COX, M.D. has a CMS MIPS Final Score of 71.2342/100 (Quality: 52.7297, Cost: 58.6919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEVEN COX, M.D. located?
STEVEN COX, M.D. is located at 1231 E MAIN ST, LANCASTER, OH, 43130. Phone: (740) 689-4938.
What is STEVEN COX, M.D.'s NPI number?
STEVEN COX, M.D.'s National Provider Identifier (NPI) is 1245214303, issued on 12/02/2005.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US?
There are 321 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
What drugs does STEVEN COX, M.D. prescribe most often?
Based on 2023 Medicare Part D data, STEVEN COX, M.D.'s most frequently prescribed drugs include Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEVEN COX, M.D. accept Medicare?
STEVEN COX, M.D. appears in CMS Medicare data with 72 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEVEN COX, M.D.'s credentials?
STEVEN COX, M.D.'s NPI is 1245214303 with credentials M.D.. 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