Active NPI 1457794935 Individual Practitioner Female Practitioner

Dr. Kyle Fitzgerald Cox , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Cox, MD is a certified Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery practicing in Boulder, CO. With approximately 14 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 2012, Dr. Cox delivers high-quality medical care to the local community at 2897 VALMONT RD STE 100.

Dr. Cox accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of content of eyes, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2897 Valmont Rd Ste 100

Boulder, CO 803011341

Telephone 3035903589

Associated Practice Facility / Clinic

🏢 Oculofacial Plastic Surgery Facility NPI 1316679749

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Boulder, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs Matches City Avg

City Avg: 14.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Boulder, CO (22 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (14 Years) 14 Yrs

Boulder Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	76	62	$48.51	$22.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$339.48	$167.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	33	$261.33	$126.72
92083 Exam of visual field with extended testing	29	28	$131.10	$64.61
15823 Removal of excessive skin and fat of upper eyelid	20	20	$1919.35	$749.46
67904 Repair of tendon of upper eyelid	14	14	$2109.73	$880.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	59	44	$48.60	$22.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$335.86	$167.02
92083 Exam of visual field with extended testing	19	19	$130.33	$64.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$258.75	$127.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	36	33	$59.55	$21.36
92083 Exam of visual field with extended testing	25	23	$161.57	$65.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$144.49	$58.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$324.74	$131.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	91	89	$60.50	$21.77
92083 Exam of visual field with extended testing	60	58	$165.55	$67.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$332.28	$134.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	41	$144.85	$58.74
15823 Removal of excessive skin and fat of upper eyelid	20	20	$2058.38	$726.98
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$234.38	$95.05
67904 Repair of tendon of upper eyelid	13	12	$2106.66	$854.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	254	238	$63.00	$21.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	142	$135.00	$109.95
92012 Established patient problem focused exam of visual system	107	99	$106.31	$87.95
92081 Exam of visual field with limited testing	61	60	$92.00	$30.36
92082 Exam of visual field with intermediate testing	50	50	$92.00	$46.87
92014 Established patient complete exam of visual system	49	46	$150.00	$125.45
15823 Removal of excessive skin and fat of upper eyelid	48	48	$2645.83	$835.49
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$90.00	$75.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$250.00	$167.62
15823 Removal of excessive skin and fat of upper eyelid	20	20	$2825.00	$819.70
92004 New patient complete exam of visual system	16	16	$193.00	$149.55
67904 Repair of tendon of upper eyelid	16	16	$1575.00	$849.88
67917 Extensive repair of turning-outward eyelid defect	14	13	$937.14	$431.26
92134 Imaging of retina	14	14	$65.00	$40.40
67840 Removal of eyelid growth	14	13	$240.00	$219.62
67820 Removal of eyelashes using forceps	13	12	$96.92	$31.86
92002 New patient problem focused exam of visual system	12	12	$98.00	$83.44
67924 Extensive repair of turning-inward eyelid defect	11	11	$828.00	$464.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	405	362	$63.00	$19.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	285	$135.00	$107.36
92004 New patient complete exam of visual system	257	257	$193.00	$148.23
92012 Established patient problem focused exam of visual system	236	196	$105.00	$86.42
92014 Established patient complete exam of visual system	234	225	$150.00	$122.66
92082 Exam of visual field with intermediate testing	220	216	$92.00	$46.60
92134 Imaging of retina	116	114	$65.00	$40.08
15823 Removal of excessive skin and fat of upper eyelid	102	102	$2752.45	$809.62
99213 Established patient office or other outpatient visit, typically 15 minutes	77	62	$90.00	$72.59
92083 Exam of visual field with extended testing	64	63	$110.00	$61.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$250.00	$163.91
92133 Imaging of optic nerve	52	50	$65.00	$35.22
92136 Measurement of corneal curvature and depth of eye	51	51	$117.00	$68.05
67904 Repair of tendon of upper eyelid	40	37	$1530.00	$795.96
67820 Removal of eyelashes using forceps	30	20	$79.33	$34.43
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	28	23	$190.57	$118.88
76514 Ultrasound scan of cornea to determine thickness	24	24	$30.00	$11.83
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$35.00	$27.23
67917 Extensive repair of turning-outward eyelid defect	19	18	$1078.95	$365.95
68840 Probing of nasal-tear duct	18	17	$214.67	$148.86
68801 Dilation of tear drainage opening	16	15	$181.13	$102.88
67924 Extensive repair of turning-inward eyelid defect	12	11	$1035.00	$436.81
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	12	11	$878.58	$415.22
67900 Repair of brow paralysis	11	11	$3636.36	$415.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	152	150	$63.00	$18.23
92014 Established patient complete exam of visual system	144	134	$150.00	$123.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	137	$134.79	$105.89
92004 New patient complete exam of visual system	125	125	$193.00	$147.21
92012 Established patient problem focused exam of visual system	116	108	$105.99	$85.79
92082 Exam of visual field with intermediate testing	85	83	$92.64	$46.32
92134 Imaging of retina	61	60	$65.00	$40.42
99213 Established patient office or other outpatient visit, typically 15 minutes	51	44	$90.00	$72.15
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	31	22	$189.35	$114.60
92083 Exam of visual field with extended testing	28	28	$110.00	$62.51
15823 Removal of excessive skin and fat of upper eyelid	24	24	$3427.08	$815.57
92133 Imaging of optic nerve	16	16	$65.00	$36.87
76514 Ultrasound scan of cornea to determine thickness	15	15	$30.00	$14.61
67820 Removal of eyelashes using forceps	13	13	$86.15	$44.19

Medical Specialties & State Licenses

CMS Verified: 2022-09-27

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 207WX0200X

State License CO DR.006544

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 207WX0200X

State License FL ME137157

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Rodger Miller , DDS

Dentist - General Practice

NPI 1982639217

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address September 27, 2022

Registered at 2897 VALMONT RD STE 100, BOULDER, CO 803011341 (Tel: 3035903589)

📍

Updated Practice Location May 11, 2022

Registered at 2897 VALMONT RD STE 100, BOULDER, CO 803011341 (Tel: 9016799496)

📍

Updated Business Mailing Address May 11, 2022

Registered at 514 COYOTE WILLOW DR, COLORADO SPRINGS, CO 809217608 (Tel: 9016799496)

📍

Updated Practice Location August 22, 2018

Registered at 345 CLYDE MORRIS BLVD STE 330, ORMOND BEACH, FL 32174 (Tel: 3866724244)

📍

Updated Business Mailing Address August 22, 2018

Registered at 345 CLYDE MORRIS BLVD STE 330, ORMOND BEACH, FL 321743114 (Tel: 3866724244)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2018

Ophthalmology (License #ME137157 in FL)

✅

NPI Profile Active June 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2014

Registered at 12901 BRUCE B DOWNS BLVD, TAMPA, FL 336124742 (Tel: 8139743820)

📍

Updated Business Mailing Address June 20, 2014

Registered at 12901 BRUCE B DOWNS BLVD, TAMPA, FL 336124742 (Tel: 8139743820)

👤

Provider Name / Credentials Updated June 20, 2014

Recorded as KYLE COX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457794935

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 15, 2013

Last Update: September 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2897 Valmont Rd Ste 100

Boulder, CO 803011341

Phone: 3035903589

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.