Interesting. I'd have thought that the whole point of slapping a Cisco box on customer premises as the effective demarcation point is to reliably monitor everything up to this point, using some $$$ infrastructure management solution they surely have deployed. Otherwise it would make no sense.
I recall gathering some scorn from a provider by basically taking their fiber and their GBIC from their gateway (figuring the less points of failure, the better), skipping their router, and plugging directly into our L2 switch. That fiber was then trunked over a dedicated VLAN to a linux server that then did the magic necessary to couple this to a soft pbx. It of course worked very well, but they "couldn't" support such a setup. I wonder how effective their "management" was since if they really managed those circuits they should have immediately noticed that their router and gateway have vanished from the face of the planet all the while the fiber link and the SIP trunks are up. I figure if I had never told them about it, they might have been none the wiser, and that's a scary realization.