Active NPI 1245214303 Individual Practitioner Male Practitioner

Dr. Steven D. Cox , MD

Surgery • Lancaster, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Cox, MD is a certified Surgery practicing in Lancaster, OH. With approximately 47 years of clinical experience since graduating from Ohio State University College Of Medicine in 1979, Dr. Cox delivers high-quality medical care to the local community at 1231 E MAIN ST.

Dr. Cox is affiliated with Fairfield Healthcare Professionals Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1231 E Main St

Lancaster, OH 431304058

Telephone 7406894938

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lancaster, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +18.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Lancaster, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cox (47 Years) 47 Yrs

Lancaster Specialty Average (29.0 Years) 29.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$135.00	$85.31
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	37	34	$20.00	$11.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$210.00	$114.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$285.00	$172.62
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	26	25	$10.00	$5.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$165.00	$104.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$210.00	$123.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$115.00	$74.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$393.00	$225.02
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$155.00	$78.56
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$285.00	$166.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	70	68	$20.00	$12.18
99213 Established patient office or other outpatient visit, typically 15 minutes	66	47	$135.00	$86.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$165.00	$108.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$210.00	$119.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$285.00	$174.84
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	24	24	$10.00	$5.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$393.00	$245.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$280.00	$178.51
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$285.00	$178.39
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$155.00	$81.36
45380 Biopsy of large bowel using an endoscope	12	12	$305.00	$164.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$210.00	$127.16

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	57	22	$162.74	$125.62
99213 Established patient office or other outpatient visit, typically 15 minutes	55	23	$111.67	$88.30
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	12	$24.72	$15.15
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	20	$20.00	$12.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$210.00	$133.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$305.00	$195.64
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	12	12	$338.71	$340.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82075 Measurement of alcohol level in breath specimen	639	63	$31.99	$29.99
99213 Established patient office or other outpatient visit, typically 15 minutes	583	57	$98.92	$75.02
90833 Psychotherapy with evaluation and management visit, 30 minutes	495	58	$92.00	$65.31
Q3014 Telehealth originating site facility fee	394	53	$30.00	$27.02
90853 Group psychotherapy	101	29	$35.00	$25.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	23	$162.74	$123.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$305.00	$198.82
80307 Testing for presence of drug, by chemistry analyzers	26	19	$90.00	$62.14
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	24	22	$300.00	$198.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$110.00	$71.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$147.00	$99.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82075 Measurement of alcohol level in breath specimen	1,018	81	$31.92	$29.76
99213 Established patient office or other outpatient visit, typically 15 minutes	894	72	$98.51	$71.76
90833 Psychotherapy with evaluation and management visit, 30 minutes	543	79	$91.62	$71.27
90853 Group psychotherapy	408	67	$34.80	$27.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	86	43	$26.92	$22.01
80307 Testing for presence of drug, by chemistry analyzers	48	27	$90.00	$62.14
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	45	27	$250.00	$156.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$305.00	$203.24
81025 Urine pregnancy test	28	11	$14.82	$8.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$142.72	$101.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82075 Measurement of alcohol level in breath specimen	599	71	$31.86	$29.30
90833 Psychotherapy with evaluation and management visit, 30 minutes	438	70	$91.05	$69.02
99213 Established patient office or other outpatient visit, typically 15 minutes	416	92	$98.98	$71.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	170	39	$26.92	$21.62
90853 Group psychotherapy	156	44	$34.81	$26.80
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	127	123	$41.56	$5.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	74	$302.00	$200.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	43	$109.00	$71.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	44	$294.33	$121.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$242.00	$160.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$145.79	$104.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$205.00	$135.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$515.50	$260.85
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$276.89	$90.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$159.00	$105.61
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	15	12	$250.00	$153.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$59.14	$43.37
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$254.54	$156.25
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$243.54	$156.05
45380 Biopsy of large bowel using an endoscope	12	12	$358.00	$189.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$248.17	$153.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	237	214	$55.45	$5.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	98	$204.44	$134.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	90	87	$212.00	$120.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$243.24	$158.25
99213 Established patient office or other outpatient visit, typically 15 minutes	68	59	$107.94	$69.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	46	$58.00	$38.47
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$284.00	$187.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$301.00	$198.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$161.47	$103.64
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$188.00	$97.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	32	$391.00	$258.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$108.00	$71.31
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$338.17	$186.84
45380 Biopsy of large bowel using an endoscope	18	18	$309.00	$166.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$284.00	$186.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$246.69	$126.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	191	177	$11.68	$5.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	139	129	$203.99	$133.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$240.12	$157.87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	75	73	$214.19	$111.82
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$106.00	$69.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	45	$58.03	$37.96
45378 Diagnostic exam of large bowel using a flexible endoscope	60	59	$279.37	$177.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	40	$157.00	$102.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$189.22	$105.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$63.00	$41.45
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$423.06	$186.39
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$393.44	$257.47
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$284.00	$185.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$240.04	$126.64
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	20	20	$73.00	$12.13
45380 Biopsy of large bowel using an endoscope	12	12	$309.00	$194.74

Medical Specialties & State Licenses

CMS Verified: 2022-11-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35050388

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.

Preventive Medicine - Addiction Medicine

NUCC Taxonomy Code: 2083A0300X

State License OH 35050388

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0555591 (OH)

Hospital & Practice Group Affiliations

Fairfield Healthcare Professionals Inc

1500 E Main St, Lancaster, OH 431303497

Phone: 7406879182

Fairfield Healthcare Professionals Inc

401 N Ewing St, Lancaster, OH 431303372

Phone: 7406894404

Practice Associates & Co-Workers

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

1 Associated Practitioners

Tonia Dunnigan

Nurse Practitioner - Family

NPI 1184107179

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location November 03, 2022

Registered at 1231 E MAIN ST, LANCASTER, OH 431304058 (Tel: 7406894938)

📍

Updated Business Mailing Address November 03, 2022

Registered at 1231 E MAIN ST, LANCASTER, OH 431304058 (Tel: 7406894938)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2022

Preventive Medicine (License #35050388 in OH)

📍

Updated Business Mailing Address July 19, 2021

Registered at 615 ELSINORE PL STE 200, CINCINNATI, OH 452021457 (Tel: 5138347063)

📍

Updated Practice Location December 12, 2019

Registered at 5815 WESTBOURNE AVE, COLUMBUS, OH 432131459 (Tel: 7406532533)

📍

Updated Business Mailing Address December 12, 2019

Registered at 5815 WESTBOURNE AVE, COLUMBUS, OH 432131459 (Tel: 7406532533)

✅

NPI Profile Active September 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2016

Registered at 135 N EWING ST, SUITE 204, LANCASTER, OH 431303382 (Tel: 7406544773)

📍

Updated Business Mailing Address September 30, 2016

Registered at 1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 431304056 (Tel: 7406878990)

👤

Provider Name / Credentials Updated September 30, 2016

Recorded as STEVEN COX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2016

Surgery (License #35050388 in OH)

🟢

Initial NPI Registration & Enumeration December 02, 2005

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: 1245214303

Entity Type:

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

Enumeration Date: December 02, 2005

Last Update: November 03, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1231 E Main St

Lancaster, OH 431304058

Phone: 7406894938

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.