MR. KELLY B COX (NP) – Nurse Practitioner, NPI 1356489264
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for MR. KELLY B COX (NP)
220 BAYHILLS DR
HIDEAWAY, TX 757715059
Phone: (903) 882-5117
Type: Mailing
1910, Roseland Boulevard, Azalea Historic District, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 75701
Phone: (902) 533-0644
Fax: (903) 533-0644
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 205 Open Payments records for all available years, with a total value of $3,328.
Total Amount is formed as General ($3,328) + Research ($0) + Ownership ($0) = $3,328.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($361).
Total Amount
$3,328
General + Research + Ownership
Payments
205
Total payment records
General Amount
$3,328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $361 |
| PFIZER INC. | $339 |
| Novo Nordisk Inc | $336 |
| Teva Pharmaceuticals USA, Inc. | $217 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $160 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070807000361 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 294 | 137 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 275 | 143 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 75771)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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