Active NPI 1093904823 Individual Practitioner Male Practitioner

Dr. Justin Cox , MD

Urology • Cincinnati, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Justin Cox, MD is a certified Urology practicing in Cincinnati, OH. With approximately 19 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2007, Dr. Cox delivers high-quality medical care to the local community at 2123 AUBURN AVE.

Dr. Cox is affiliated with Christ Hospital Medical Specialists Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include urinalysis, manual test, established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2123 Auburn Ave

Cincinnati, OH 452192906

Telephone 5137217373

Fax 5139774253

Associated Practice Facility / Clinic

🏢 Mt Auburn Obstetrics & Gynecologic Assoc Inc Facility NPI 1033104310

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.7 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

53 Specialists

Practicing in Cincinnati, OH (564 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (19 Years) 19 Yrs

Cincinnati Specialty Average (19.7 Years) 19.7 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
81002 Urinalysis, manual test	219	176	$5.00	$3.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	128	$211.00	$120.54
99213 Established patient office or other outpatient visit, typically 15 minutes	123	113	$145.00	$84.38
52000 Diagnostic exam of bladder and urethra using an endoscope	100	73	$164.00	$74.93
74420 Imaging of urinary tract	72	44	$51.00	$23.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	54	$285.00	$168.09
76872 Ultrasound scan of pelvic region through rectum	47	43	$67.00	$30.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$321.00	$155.20
55700 Biopsy of prostate gland	42	42	$266.00	$118.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$209.00	$105.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	18	$347.89	$143.49
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	23	23	$2932.00	$1049.41
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	19	19	$1515.00	$353.56
52005 Insertion of tube into ureter using an endoscope through bladder area	18	15	$267.00	$125.70
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	18	$1478.00	$692.81
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	16	16	$1347.00	$314.71
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$145.00	$85.02
99441 Telephone medical discussion with physician, 5-10 minutes	16	14	$88.00	$52.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$407.00	$197.72
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	14	$344.00	$154.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	272	244	$5.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	200	181	$145.00	$86.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	127	$211.00	$123.39
52000 Diagnostic exam of bladder and urethra using an endoscope	100	74	$164.00	$77.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$321.00	$159.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$209.00	$106.63
74420 Imaging of urinary tract	62	41	$51.00	$23.96
76872 Ultrasound scan of pelvic region through rectum	33	31	$67.00	$31.59
55700 Biopsy of prostate gland	30	30	$294.27	$124.89
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	14	$349.23	$153.84
99442 Telephone medical discussion with physician, 11-20 minutes	21	19	$145.00	$87.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$285.00	$173.43
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$1478.00	$712.08
52287 Exam with injections of chemical for destruction of bladder using an endoscope	14	13	$344.00	$153.78
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$289.33	$133.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	210	172	$5.00	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	193	$211.00	$124.14
99213 Established patient office or other outpatient visit, typically 15 minutes	180	157	$145.00	$87.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	105	14	$444.00	$177.67
52000 Diagnostic exam of bladder and urethra using an endoscope	94	77	$164.00	$75.12
74420 Imaging of urinary tract	74	51	$51.00	$24.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$321.00	$161.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$209.00	$109.33
76872 Ultrasound scan of pelvic region through rectum	37	34	$67.00	$32.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	21	$321.97	$144.27
55700 Biopsy of prostate gland	34	34	$266.00	$123.12
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	27	27	$1478.00	$714.31
52005 Insertion of tube into ureter using an endoscope through bladder area	19	17	$267.00	$130.44
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	14	$60.00	$31.43
99442 Telephone medical discussion with physician, 11-20 minutes	17	14	$145.00	$88.33
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	14	$344.00	$167.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$285.00	$175.10
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$88.00	$53.99
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$306.00	$131.48
52281 Dilation of bladder canal (urethra) using an endoscope	12	12	$307.00	$149.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	249	$211.00	$125.47
81002 Urinalysis, manual test	240	197	$5.00	$3.47
99213 Established patient office or other outpatient visit, typically 15 minutes	170	154	$145.00	$87.75
52000 Diagnostic exam of bladder and urethra using an endoscope	104	85	$164.00	$74.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$321.00	$160.23
74420 Imaging of urinary tract	69	48	$51.00	$24.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$209.00	$108.52
76872 Ultrasound scan of pelvic region through rectum	39	37	$67.00	$32.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$285.00	$177.53
55700 Biopsy of prostate gland	26	26	$266.00	$131.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$143.00	$71.20
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	21	21	$2932.00	$1367.06
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	19	19	$1347.00	$334.67
52005 Insertion of tube into ureter using an endoscope through bladder area	19	16	$267.00	$132.49
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	19	19	$1515.00	$375.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	14	$60.00	$30.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$331.47	$137.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$273.00	$134.76
50590 Shock wave crushing of kidney stones	14	12	$1149.00	$572.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$306.00	$151.68
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$82.00	$39.52
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$213.00	$100.40
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$844.00	$417.82
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1478.00	$732.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	243	$202.33	$105.57
81002 Urinalysis, manual test	173	146	$11.01	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	147	126	$147.04	$72.89
J3315 Injection, triptorelin pamoate, 3.75 mg	93	13	$603.58	$299.60
52000 Diagnostic exam of bladder and urethra using an endoscope	66	57	$228.36	$73.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$202.88	$103.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$305.50	$156.50
74420 Imaging of urinary tract	48	34	$45.31	$24.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$267.50	$135.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	18	$345.00	$135.40
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	15	$60.00	$30.18
76872 Ultrasound scan of pelvic region through rectum	18	18	$158.50	$33.82
50590 Shock wave crushing of kidney stones	16	14	$1265.44	$584.25
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$3272.80	$1489.04
55700 Biopsy of prostate gland	13	13	$373.08	$134.36
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$199.67	$19.64
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$325.50	$103.29
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$1474.09	$341.00
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	11	11	$1495.91	$383.73
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$222.00	$41.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	362	278	$19.00	$3.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	257	$190.00	$103.84
99213 Established patient office or other outpatient visit, typically 15 minutes	203	169	$150.00	$71.36
J3315 Injection, triptorelin pamoate, 3.75 mg	127	17	$695.00	$242.70
74420 Imaging of urinary tract	105	49	$42.57	$26.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$290.00	$159.31
52000 Diagnostic exam of bladder and urethra using an endoscope	63	52	$400.00	$76.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$190.00	$100.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	31	$250.00	$141.70
52005 Insertion of tube into ureter using an endoscope through bladder area	32	19	$350.00	$130.91
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	18	$371.25	$149.40
76872 Ultrasound scan of pelvic region through rectum	26	26	$250.00	$32.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$130.00	$72.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	23	18	$60.00	$29.15
55700 Biopsy of prostate gland	22	22	$440.00	$127.45
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	17	17	$3500.00	$1382.05
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	13	13	$1580.00	$336.32
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$483.00	$101.77
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1670.00	$740.00
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	11	11	$1480.00	$379.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$480.00	$146.98
50590 Shock wave crushing of kidney stones	11	11	$1770.00	$575.57
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$390.00	$40.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	394	291	$19.00	$3.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	247	$190.00	$102.50
99213 Established patient office or other outpatient visit, typically 15 minutes	182	149	$150.00	$69.33
J3315 Injection, triptorelin pamoate, 3.75 mg	162	19	$695.00	$277.97
74420 Imaging of urinary tract	91	51	$38.00	$17.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$290.00	$157.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$190.00	$103.16
52000 Diagnostic exam of bladder and urethra using an endoscope	56	52	$400.00	$69.19
52332 Insertion of stent in urinary duct (ureter) using an endoscope	42	27	$360.00	$154.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	30	$250.00	$136.11
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	20	$60.00	$27.23
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	26	25	$370.00	$18.75
51797 Insertion of device into abdomen with pressure and urine flow rate study	24	23	$390.00	$40.26
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	22	$483.00	$102.56
76872 Ultrasound scan of pelvic region through rectum	21	18	$250.00	$33.28
52005 Insertion of tube into ureter using an endoscope through bladder area	19	14	$350.00	$133.31
55700 Biopsy of prostate gland	18	18	$440.00	$131.36
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$480.00	$147.27
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$3500.00	$1446.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$130.00	$71.31
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	13	13	$1580.00	$382.97
51741 Electronic assessment of bladder emptying	12	11	$160.00	$5.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$250.00	$134.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	372	282	$19.00	$3.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	269	$190.00	$100.71
J3315 Injection, triptorelin pamoate, 3.75 mg	141	17	$695.00	$312.28
99213 Established patient office or other outpatient visit, typically 15 minutes	135	110	$150.00	$68.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$290.00	$155.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$190.00	$101.89
52000 Diagnostic exam of bladder and urethra using an endoscope	65	57	$400.00	$89.68
74420 Imaging of urinary tract	53	33	$41.02	$19.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	34	$250.00	$133.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	21	$360.00	$148.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	19	$60.00	$28.51
51798 Ultrasound measurement of bladder capacity after voiding	19	18	$40.00	$16.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$130.00	$66.96
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$370.00	$18.68
55700 Biopsy of prostate gland	16	16	$440.00	$131.13
76872 Ultrasound scan of pelvic region through rectum	16	16	$250.00	$32.89
52005 Insertion of tube into ureter using an endoscope through bladder area	16	12	$350.00	$126.26
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$390.00	$40.15
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	14	14	$3500.00	$1356.67
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$483.00	$93.42
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$475.38	$139.92
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$1580.00	$311.37
51741 Electronic assessment of bladder emptying	11	11	$160.00	$4.15

Medical Specialties & State Licenses

CMS Verified: 2020-10-27

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 57013394

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

774715 (OH)

Commercial Insurance / Payer ID Gateway

1628618 (OH)

Commercial Insurance / Payer ID Buckeye Medicare

777801 (OH)

Commercial Insurance / Payer ID Medicare

H118270 (OH)

Commercial Insurance / Payer ID Railroad Ky Medicare

P01267522 (KY)

Commercial Insurance / Payer ID Medicaid

77226 (OH)

Commercial Insurance / Payer ID Ky Medicare

K066180 (KY)

Commercial Insurance / Payer ID Buckeye Medicaid

712962 (OH)

Commercial Insurance / Payer ID Wellcare Of Oh

714390 (OH)

Commercial Insurance / Payer ID Caresource

270577733074 (OH)

Hospital & Practice Group Affiliations

Christ Hospital Medical Specialists Llc

2139 Auburn Ave, Cincinnati, OH 452192906

Phone: 5135852323

Christ Hospital Medical Specialists Llc

1955 Dixie Hwy, Ft Wright, KY 410112792

Phone: 5137217373

Christ Hospital Medical Specialists Llc

11140 Montgomery Rd, Cincinnati, OH 452492309

Phone: 5134215558

Christ Hospital Medical Specialists Llc

2123 Auburn Ave, Cincinnati, OH 452192906

Practice Associates & Co-Workers

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

14 Associated Practitioners

Megan Sizemore , PA-C

Physician Assistant

NPI 1114884186

Physician Assistant (Certified)

Dr. Galen Warren , MD

Urology

NPI 1134121155

Doctor of Medicine (M.D.)

Linda Bolt , PA-C

Physician Assistant - Medical

NPI 1225157118

Physician Assistant (Certified)

Melanie Hungler , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1285878827

PHYSICIANASSISTANT

Nancy Meyer , NP

Nurse Practitioner - Acute Care

NPI 1417353939

Nurse Practitioner

Dr. Yaejee Hong , MD

Urology

NPI 1457885725

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2014

Registered at 2123 AUBURN AVE, CINCINNATI, OH 452192906 (Tel: 5137217373)

📍

Updated Business Mailing Address June 30, 2014

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132638571)

👤

Provider Name / Credentials Updated June 30, 2014

Recorded as JUSTIN COX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2014

Urology (License #57013394 in OH)

🟢

Initial NPI Registration & Enumeration October 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093904823

Entity Type:

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

Enumeration Date: October 17, 2007

Last Update: October 27, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

237 William Howard Taft, Phys Div, 2nd Fl, Cbo2-3, Attn: Credentialing

Cincinnati, OH 452192906

Phone: 5132638571

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.