TRACI L COOK DO NPI 1003022245

Obstetrics & Gynecology - Obstetrics in Langhorne, PA

Individual Female Years of Experience 19 Obstetrics & Gynecology Obstetrics PECOS Enrolled Accepts Medicare Approved Payment

About TRACI L COOK DO

Traci Cook is a women's health care provider established in Langhorne, Pennsylvania and her medical specialization is Obstetrics & Gynecology with a focus in obstetrics with more than 19 years of experience. She graduated from Philadelphia College Of Osteopathic Medicine in 2004. The NPI number of Traci Cook is 1003022245 and was assigned on May 2007. The practitioner's primary taxonomy code is 207VX0000X with license number OS014830 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.

Women's health care providers like Traci L Cook Do treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

NPI

1003022245

Provider Name TRACI L COOK DO
Provider Location Address540 WOODBOURNE RD LANGHORNE, PA 19047
Provider Mailing Address1203 LANGHORNE NEWTOWN RD #225, ST CLARE BDG LANGHORNE, PA 19047
GenderFemale
NPI Entity TypeIndividual
Medical School NamePHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Enumeration Date05-15-2007
Last Update Date05-17-2021



Traci Cook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Traci Cook is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St Mary Medical Center, Capital Health Medical Center - Hopewell, Hospital Of Univ Of Pennsylvania and Holy Redeemer Hospital And Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.88 for a new patient copayment and $19.55 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207VX0000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationObstetrics
License No.OS014830
License StatePA

Business Address

TRACI L COOK DO
540 WOODBOURNE RD
LANGHORNE, PA
ZIP 19047
Phone: (215) 750-7771

Get Directions


Mailing Address

TRACI L COOK DO
1203 LANGHORNE NEWTOWN RD
#225, ST CLARE BDG
LANGHORNE, PA
ZIP 19047
Phone: (215) 750-7771
Fax: (215) 750-6935


Secondary Locations

1203 Langhorne Newtown Rd St Clare Bldg, Suite 225
Langhorne, PA 19047
(215) 750-7771

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6709932577
PECOS Enrollment IDI20090918000525, I20200312001839
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 19047 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$62.8 $189.43 $143.54
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.7 $47.35 $35.88
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.68 $154.62 $78.22
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.92 $38.65 $19.55

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 62Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Traci Cook is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST MARY MEDICAL CENTERLANGHORNE-NEWTOWN RD
LANGHORNE, PA 19047
(215) 750-2003Acute Care Hospitals390258
CAPITAL HEALTH MEDICAL CENTER - HOPEWELLONE CAPITAL WAY
PENNINGTON, NJ 8534
(609) 303-4000Acute Care Hospitals310044
HOSPITAL OF UNIV OF PENNSYLVANIA34TH & SPRUCE STS
PHILADELPHIA, PA 19104
(215) 662-3227Acute Care Hospitals390111
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
(215) 947-3000Acute Care Hospitals390097

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003022245
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 2 + 8 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003022245 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700996451 LESTER A. RUPPERSBERGER D.O.
Individual
Obstetrics & Gynecology540 WOODBOURNE RD SUITE 1
LANGHORNE, PA 19047
(215) 750-6611
1346347440 CYNTHIA CULLEN CNM
Individual
Nurse Practitioner (Obstetrics & Gynecology)540 WOODBOURNE RD SUITE 1
LANGHORNE, PA 19047
(215) 750-6611
1336371996MRS. KAREN HOLLAND NYIRJESY CRNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-6611
1972862423MRS. LISA DIASIO CRNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-6611
1043330707MS. SUSAN ELLEN RITORTO NP
Individual
Nurse Practitioner (Obstetrics & Gynecology)540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 757-6611
1346783859ATHENA IMAGING LLC
Organization
Radiology (Diagnostic Radiology)540 WOODBOURNE RD
LANGHORNE, PA 19047
(609) 815-7532
1144767955COMPREHENSIVE IMAGING AND DIAGNOSTICS
Organization
Radiology (Diagnostic Radiology)540 WOODBOURNE RD
LANGHORNE, PA 19047
(877) 244-6266
1366457939CENTER FOR WOMEN'S HEALTH
Organization
Obstetrics & Gynecology540 WOODBOURNE RD SUITE 1
LANGHORNE, PA 19047
(215) 750-6611
1720158785CENTER FOR WOMEN'S HEALTH
Organization
Nurse Practitioner540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-6611
1801027073DR. MEGHAN ARVIND PATEL M.D.
Individual
Obstetrics & Gynecology540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771
1043216443DR. DAVID S TANNENBAUM MD
Individual
Obstetrics & Gynecology540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771
1205822095MS. CHARLOTTE DORKO CRNP
Individual
Nurse Practitioner (Women's Health)540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771
1346296324DR. JESMIN MITRA M.D.
Individual
Obstetrics & Gynecology (Gynecology)540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771
1235163700DR. JAY SEAN ROTHBERG M.D.
Individual
Obstetrics & Gynecology540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771
1518077163 ANNE WALKER M.D.
Individual
Obstetrics & Gynecology540 WOODBOURNE RD SUITE 1
LANGHORNE, PA 19047
(215) 750-6611
1659327807DR. JERROLD M SNYDER D.O.
Individual
Obstetrics & Gynecology540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771
1144670399DR. IRENE MARIA STENSON DO
Individual
Obstetrics & Gynecology540 WOODBOURNE RD
LANGHORNE, PA 19047
(215) 750-7771

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Traci L Cook Do is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.