GLENN COOK MD NPI 1013078427
Ophthalmology in La Mesa, CA

About GLENN COOK MD

Glenn Cook is a provider established in La Mesa, California and his medical specialization is Ophthalmology with more than 35 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1988. The NPI number of Glenn Cook is 1013078427 and was assigned on December 2006. The practitioner's primary taxonomy code is 207W00000X with license number G63727 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1013078427
Provider Name GLENN COOK MD
Location Address7877 PARKWAY DR SUITE 100 LA MESA, CA 91942
Location Phone(619) 460-3711
Mailing Address7877 PARKWAY DR SUITE 100 LA MESA, CA 91942
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year1988
Is Sole Proprietor?No
Enumeration Date12-12-2006
Last Update Date01-19-2011

Glenn 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.

Glenn 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 57.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.06 for a new patient copayment and $19.8 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.G63727
License StateCA
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

GLENN COOK MD
7877 PARKWAY DR
SUITE 100
LA MESA, CA
ZIP 91942
Phone: (619) 460-3711
Fax: (619) 460-2184

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Mailing Address

GLENN COOK MD
7877 PARKWAY DR
SUITE 100
LA MESA, CA
ZIP 91942
Phone: (619) 460-3711
Fax: (619) 460-2184


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID6002918315
PECOS Enrollment IDI20110120000470
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 91942 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
$63.57 $190.19 $144.27
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.89 $47.54 $36.06
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
$20.39 $156.1 $79.23
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.09 $39.02 $19.8

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 40
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 89.7
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 57.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

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.

  • 1028Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 952Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 382Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 235Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 44Diagnostic imaging of retina (HCPCS:92134)
  • 39Measurement of field of vision during daylight conditions (HCPCS:92083)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0802380003OTHER (01)CACORONADO OFFICE NORIDIAN
WG63727FMEDICARE PIN (08)
WG63727BMEDICARE PIN (08)
0802380001OTHER (01)CANORIDIAN PROVIDER NUMBER
00G637271MEDICAID (05)CA
E98328MEDICARE UPIN (02)

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.
1013078427
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 6 + 4 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1013078427 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366448243PAUL L TREGER MD A MEDICAL CORPORATION
Organization
Ophthalmology7877 PARKWAY DR STE 100
LA MESA, CA 91942
(619) 460-9077
1316939978 WILLIAM BURTON DAVIS M.D.
Individual
Internal Medicine (Cardiovascular Disease)7877 PARKWAY DR SUITE 1B
LA MESA, CA 91942
(619) 461-3717
1255436804 MARK SHAFFER M.D.
Individual
Internal Medicine7877 PARKWAY DR SUITE1B
LA MESA, CA 91942
(619) 461-3717
1609963974DR. ANTHONY TRONG TRAN D.D.S.
Individual
Dentist (General Practice)7877 PARKWAY DR SUITE 2B
LA MESA, CA 91942
(619) 463-6758
1447311899 PAUL LESLIE TREGER MD
Individual
Ophthalmology7877 PARKWAY DR SUITE 100
LA MESA, CA 91942
(619) 460-9077
1184748311 MARTIN M NOSAN MD
Individual
Internal Medicine7877 PARKWAY DR SUITE 1B
LA MESA, CA 91942
(619) 461-3717
1578748018MOBILE PHYSICIAN SERVICES
Organization
Clinical Medical Laboratory7877 PARKWAY DR SUITE 1B
LA MESA, CA 91942
(619) 461-3717
1891933941AIREEN L. GUTIERREZ, M.D., INC.
Organization
Internal Medicine7877 PARKWAY DR SUITE 1B
LA MESA, CA 91942
(619) 461-3717
1124342373INDEPENDENT DIAGNOSTIC TESTING INC
Organization
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier7877 PARKWAY DR
LA MESA, CA 91942
(619) 461-0039
1720359789SARAH E STANTON MD INC
Organization
Clinic/Center7877 PARKWAY DR SIUTE B
LA MESA, CA 91942
(619) 461-3717

Frequently Asked Questions

What is Glenn Cook MD NPI number?

The NPI number assigned to Glenn Cook MD is 1013078427, registered as an "individual" on December 12, 2006

Where is Glenn Cook MD located?

The provider is located at 7877 Parkway Dr Suite 100 La Mesa, Ca 91942 and the phone number is (619) 460-3711

Which is Glenn Cook MD specialty?

The provider's speciality is Ophthalmology

How many years of experience does Glenn Cook MD have?

The provider has more than 35 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1988.

What insurance does Glenn Cook MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Glenn Cook MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Glenn Cook MD?

Medicare beneficiaries should expect a typical cost of $144.27 with an average copayment of $36.06 for new patient appointments. Established patients should expect a typical charge of $79.23 and an average copayment of 19.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Glenn Cook MD?

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, established patient, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits, Diagnostic imaging of optic nerve of eye, Diagnostic imaging of retina and Measurement of field of vision during daylight conditions.

How do I update my NPI information?

The NPI record of Glenn Cook MD was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]