Active NPI 1124101514 Individual Practitioner Male Practitioner

Dr. James Madison Cox , OD

Optometrist • Bainbridge, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Cox, OD is a certified Optometrist practicing in Bainbridge, GA. With approximately 47 years of clinical experience since graduating from Southern College Of Optometry in 1979, Dr. Cox delivers high-quality medical care to the local community at 1601 E SHOTWELL ST.

Dr. Cox is affiliated with Hospital Authority Of The City Of Bainbridge And Decatur County and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1601 E Shotwell St

Bainbridge, GA 398194347

Telephone 2292461600

Fax 2292461636

Associated Practice Facility / Clinic

🏢 Bainbridge Vision Clinic Inc Facility NPI 1548344336

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bainbridge, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +19.8 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Bainbridge, GA (1498 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (47 Years) 47 Yrs

Bainbridge Specialty Average (27.2 Years) 27.2 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$289.00	$104.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$440.00	$157.33
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$192.24	$84.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$276.36	$119.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$100.00	$84.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	25	25	$113.78	$108.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$168.80	$121.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$62.59	$52.05
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$91.44	$80.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	139	136	$105.54	$105.30
92004 New patient complete exam of visual system	55	55	$107.73	$107.73
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$62.15	$62.15
92012 Established patient problem focused exam of visual system	11	11	$80.36	$80.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	109	108	$105.00	$104.12
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$63.21	$61.70
92004 New patient complete exam of visual system	32	32	$112.81	$112.50
92012 Established patient problem focused exam of visual system	14	14	$83.00	$75.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$44.31	$42.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	138	135	$105.00	$103.71
92004 New patient complete exam of visual system	74	74	$112.77	$111.52
99213 Established patient office or other outpatient visit, typically 15 minutes	69	51	$63.42	$61.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$45.18	$42.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,741	22	$2.55	$1.29
92014 Established patient complete exam of visual system	167	165	$105.00	$103.04
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$62.62	$61.39
92004 New patient complete exam of visual system	63	63	$109.37	$107.64
92012 Established patient problem focused exam of visual system	28	28	$83.89	$77.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$44.53	$39.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	229	222	$105.00	$101.66
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$63.19	$61.54
92004 New patient complete exam of visual system	64	64	$115.22	$110.84
92012 Established patient problem focused exam of visual system	31	30	$80.39	$72.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$44.14	$38.32
66984 Removal of cataract with insertion of lens	29	16	$200.00	$113.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA 880

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00183477C (GA)

Hospital & Practice Group Affiliations

Hospital Authority Of The City Of Bainbridge And Decatur County

603 Wheat Ave, Bainbridge, GA 398194380

Phone: 2292438597

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Julia Harrison , OD

Optometrist

NPI 1073004602

Doctor of Optometry

Dr. Frank Flowers , OD

Optometrist

NPI 1245313634

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2008

Registered at 1601 E SHOTWELL ST, BAINBRIDGE, GA 398194347 (Tel: 2292461600)

📍

Updated Business Mailing Address May 29, 2008

Registered at PO BOX 327, BAINBRIDGE, GA 398180327 (Tel: 2292461600)

👤

Provider Name / Credentials Updated May 29, 2008

Recorded as JAMES COX, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Optometrist (License #880 in GA)

🟢

Initial NPI Registration & Enumeration October 23, 2006

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: 1124101514

Entity Type:

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

Enumeration Date: October 23, 2006

Last Update: May 29, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 327

Bainbridge, GA 398180327

Phone: 2292461600

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.