Active NPI 1306104476 Individual Practitioner Male Practitioner

Dr. Benjamin Andrew Cox , DO

Orthopaedic Surgery • Mt Pleasant, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Cox, DO is a certified Orthopaedic Surgery practicing in Mt Pleasant, MI. With approximately 14 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2012, Dr. Cox delivers high-quality medical care to the local community at 4851 E PICKARD ST STE 1100.

Dr. Cox maintains professional affiliations with Mymichigan Medical Center Alma, Mymichigan Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4851 E Pickard St Ste 1100

Mt Pleasant, MI 488582038

Telephone 9894632333

Fax 9894632266

Associated Practice Facility / Clinic

🏢 James E Ware Do Pc Facility NPI 1760733646

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Mt Pleasant, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +0.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Mt Pleasant, MI (1014 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (14 Years) 14 Yrs

Mt Pleasant Specialty Average (13.5 Years) 13.5 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	184	30	$0.35	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	67	43	$261.19	$85.89
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	45	27	$284.16	$93.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	34	$369.85	$121.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$482.27	$153.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	320	41	$0.38	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	116	40	$289.53	$92.07
99213 Established patient office or other outpatient visit, typically 15 minutes	92	57	$261.22	$85.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	55	$370.44	$118.34
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	58	12	$386.72	$124.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$484.59	$155.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$162.93	$51.44
76881 Complete ultrasound of joint of arm or leg	15	15	$155.73	$51.86
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	11	$168.06	$51.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	415	65	$0.29	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	232	61	$232.21	$91.26
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	151	32	$319.66	$121.80
99213 Established patient office or other outpatient visit, typically 15 minutes	126	79	$211.86	$86.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	71	$283.20	$121.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	51	$121.62	$52.22
J1885 Injection, ketorolac tromethamine, per 15 mg	68	25	$1.07	$0.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$383.04	$161.39
76881 Complete ultrasound of joint of arm or leg	34	32	$127.12	$56.29
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	15	14	$119.31	$53.77
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$405.22	$169.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	312	56	$0.29	$0.14
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	154	52	$191.92	$94.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	76	$251.63	$122.13
J1885 Injection, ketorolac tromethamine, per 15 mg	90	35	$0.94	$0.46
99213 Established patient office or other outpatient visit, typically 15 minutes	88	63	$177.01	$87.29
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	85	21	$273.34	$135.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$326.82	$160.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	30	$108.22	$54.11
76881 Complete ultrasound of joint of arm or leg	23	23	$127.40	$61.37
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	11	$111.84	$55.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	269	48	$0.25	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	112	39	$184.37	$92.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	70	$211.69	$104.70
99213 Established patient office or other outpatient visit, typically 15 minutes	94	59	$145.62	$71.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$209.49	$102.46
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	61	15	$285.76	$142.64
J1885 Injection, ketorolac tromethamine, per 15 mg	44	20	$1.15	$0.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	16	$111.27	$55.48
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	17	17	$109.46	$54.55
20550 Injection into tendon or ligament	13	11	$108.06	$53.88
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1350.62	$293.63
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$355.38	$176.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	158	57	$0.23	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	70	$197.13	$103.75
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	121	47	$175.61	$87.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$193.04	$102.79
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	64	15	$289.25	$142.31
99213 Established patient office or other outpatient visit, typically 15 minutes	41	30	$139.31	$69.70
J1885 Injection, ketorolac tromethamine, per 15 mg	39	17	$1.01	$0.50
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	35	32	$100.99	$54.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	14	$106.22	$49.62
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$350.03	$175.88

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	18	18	$206.33	$96.53

Medical Specialties & State Licenses

CMS Verified: 2025-04-29

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 5101019801

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License FL 14554

Hospital & Practice Group Affiliations

Mymichigan Medical Group

100 Rose Ctr, Mount Pleasant, MI 488590001

Phone: 9894632333

Mymichigan Medical Center Alma

330 E Warwick Dr, Alma, MI 488011014

Phone: 9896298140

Mymichigan Medical Center Alma

320 E Warwick Dr, Alma, MI 488011014

Phone: 9894667020

Mymichigan Medical Center Alma

300 E Warwick Dr, Alma, MI 488011014

Phone: 9894667050

Mymichigan Medical Center Alma

4851 E Pickard St, Mt Pleasant, MI 488582042

Phone: 9894632333

Mymichigan Medical Center Alma

315 E Warwick Dr, Alma, MI 488011083

Mymichigan Medical Center Alma

314 E Warwick Dr, Alma, MI 488011014

Phone: 9893317940

Secondary Practice Locations

2600 Three Leaves Dr

Mount Pleasant, MI 488585523

Phone: 9844183777

602 Beech St Ste 3100

Clare, MI 486171467

Phone: 9898028515

315 E Warwick Dr Ste A

Alma, MI 488011083

Phone: 9894632333

315 E Warwick Dr Ste B

Alma, MI 488011083

Phone: 9894632333

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. James Ware , DO

Orthopaedic Surgery

NPI 1063449650

Doctor of Osteopathic Medicine (D.O.)

Kenneth Ordway , PA

Physician Assistant

NPI 1568183481

Physician Assistant

Riley Bell

Physician Assistant

NPI 1578921730

Dr. Michael Rodriguez , MD

Family Medicine - Sports Medicine

NPI 1669032256

Doctor of Medicine (M.D.)

Joseph Fox , AT, C

Specialist/Technologist - Athletic Trainer

NPI 1679552442

Nicholas Brough

Physician Assistant

NPI 1962228940

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location April 29, 2025

Registered at 4851 E PICKARD ST STE 1100, MT PLEASANT, MI 488582038 (Tel: 9894632333)

📍

Updated Business Mailing Address April 29, 2025

Registered at 4000 WELLNESS DR, MIDLAND, MI 486702000 (Tel: 8448321956)

📍

Updated Practice Location December 08, 2018

Registered at 2600 THREE LEAVES DR, MOUNT PLEASANT, MI 488585523 (Tel: 9844183777)

📍

Updated Business Mailing Address December 08, 2018

Registered at 2600 THREE LEAVES DR, MOUNT PLEASANT, MI 488585523 (Tel: 9894183777)

📍

Updated Practice Location August 15, 2018

Registered at 2890 HEALTH PKWY, MOUNT PLEASANT, MI 48858 (Tel: 9899534111)

📍

Updated Business Mailing Address August 15, 2018

Registered at 2890 HEALTH PKWY, MOUNT PLEASANT, MI 488586931 (Tel: 9899534111)

📍

Updated Practice Location April 23, 2018

Registered at 1040 GULF BREEZE PKWY, GULF BREEZE, FL 325617809 (Tel: 8509168704)

📍

Updated Business Mailing Address April 23, 2018

Registered at 1020 GULF BREEZE PKWY, GULF BREEZE, FL 325614838

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2018

Orthopaedic Surgery (License #14554 in FL)

✅

NPI Profile Active April 26, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2012

Registered at 401 W GREENLAWN AVE, MC LAREN GREATER LANSING, ATTN: KAREN JURY, LANSING, MI 489102819 (Tel: 5179757888)

📍

Updated Business Mailing Address April 26, 2012

Registered at 401 W GREENLAWN AVE, MC LAREN GREATER LANSING, ATTN: KAREN JURY, LANSING, MI 489102819

👤

Provider Name / Credentials Updated April 26, 2012

Recorded as BENJAMIN COX, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 26, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306104476

Entity Type:

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

Enumeration Date: April 26, 2012

Last Update: April 29, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4000 Wellness Dr

Midland, MI 486702000

Phone: 8448321956

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.