Active NPI 1821275074 Individual Practitioner Male Practitioner

Dr. Eric Michael Cox , MD

Surgery • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Cox, MD is a certified Surgery practicing in Peoria, IL. With approximately 20 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2006, Dr. Cox delivers high-quality medical care to the local community at 1001 MAIN ST STE 300.

Dr. Cox maintains professional affiliations with Springfield Clinic, Llp, Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 Main St Ste 300

Peoria, IL 616062036

Telephone 3094950200

Fax 3096766545

Associated Practice Facility / Clinic

🏢 Springfield Clinic Llp Facility NPI 1255916078

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Peoria, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +3.2 yrs vs City Avg

City Avg: 16.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

37 Specialists

Practicing in Peoria, IL (1624 Statewide)

Telehealth Adoption Rate

10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (20 Years) 20 Yrs

Peoria Specialty Average (16.8 Years) 16.8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	47	$345.62	$77.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	38	$197.96	$49.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$583.16	$126.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$767.23	$163.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$520.35	$109.41
47562 Removal of gallbladder using an endoscope	17	17	$3912.18	$676.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$586.00	$124.83
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$466.57	$82.58
36415 Insertion of needle into vein for collection of blood sample	12	12	$8.75	$8.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	75	$329.00	$77.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	41	$178.00	$47.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$624.00	$127.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$741.00	$160.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$555.00	$122.74
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$463.00	$81.81
36415 Insertion of needle into vein for collection of blood sample	24	23	$6.00	$5.88
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$382.00	$86.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$496.00	$108.18
47562 Removal of gallbladder using an endoscope	18	18	$3908.56	$666.91
49650 Repair of groin hernia using an endoscope	12	12	$3833.67	$469.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	65	$329.00	$69.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	41	$178.00	$37.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$624.00	$131.73
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$463.00	$98.50
47562 Removal of gallbladder using an endoscope	12	12	$3855.00	$670.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$682.33	$162.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$172.33	$89.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$386.86	$165.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$266.00	$123.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$257.00	$110.07
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1623.27	$185.71
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$266.00	$100.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$160.18	$73.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$253.05	$106.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$2089.50	$261.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$380.27	$162.17
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	11	11	$247.45	$5.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	31	$154.33	$71.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$370.15	$160.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	35	$240.71	$105.35
36415 Insertion of needle into vein for collection of blood sample	32	30	$27.00	$2.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$50.00	$7.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	20	$343.70	$135.45
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$113.50	$18.68
35301 Removal of blood clot and portion of artery of neck	12	12	$1396.50	$188.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$148.49	$70.66
36415 Insertion of needle into vein for collection of blood sample	33	32	$27.00	$2.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$362.58	$156.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$235.21	$104.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	13	$174.00	$72.08
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$50.00	$7.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$237.63	$105.10
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$245.00	$100.89
35301 Removal of blood clot and portion of artery of neck	11	11	$1373.75	$189.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	34	$143.76	$69.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$352.36	$157.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	36	$227.98	$103.55
36415 Insertion of needle into vein for collection of blood sample	29	29	$26.10	$2.94
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$241.15	$100.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$231.17	$100.44
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$50.00	$7.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$2041.69	$262.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$108.82	$18.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1658.18	$110.14

Medical Specialties & State Licenses

CMS Verified: 2025-09-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036128664

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

210 Saint Joseph Dr, Bloomington, IL 617013636

Phone: 3096849100

Springfield Clinic, Llp

1001 Main St, Peoria, IL 616062036

Phone: 2175287541

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Andy Chiou , MD

Surgery - Vascular Surgery

NPI 1063454197

Doctor of Medicine (M.D.)

Dr. Julius Bonello , MD

Surgery

NPI 1093751257

Doctor of Medicine (M.D.)

Jamie Doubet , APN

Clinical Nurse Specialist

NPI 1124344023

Advanced Practice Nurse

Dr. Paul Siebert , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1154337236

Doctor of Medicine (M.D.)

Dr. Norman Estes , MD

Surgery

NPI 1205864170

Doctor of Medicine (M.D.)

Dr. Stephanie Cain , APN, DNP

Clinical Nurse Specialist

NPI 1255587812

Advanced Practice Nurse, Doctor of Nursing Practice

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2025

Surgery (License #036128664 in IL)

📍

Updated Practice Location December 22, 2021

Registered at 1001 MAIN ST STE 300, PEORIA, IL 616062036 (Tel: 3094950200)

📍

Updated Business Mailing Address December 22, 2021

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

✅

NPI Profile Active January 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2008

Registered at 624 NE GLEN OAK AVE, PEORIA, IL 616033135 (Tel: 3096553971)

📍

Updated Business Mailing Address January 29, 2008

Registered at 3021 W WESTPORT RD, PEORIA, IL 616154007 (Tel: 6182011138)

👤

Provider Name / Credentials Updated January 29, 2008

Recorded as ERIC COX, M.D.

🎓

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

Surgery (License #125052020 in IL)

🟢

Initial NPI Registration & Enumeration January 29, 2008

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: 1821275074

Entity Type:

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

Enumeration Date: January 29, 2008

Last Update: September 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

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.