FREDERICK G COOK MD
NPI 1083697965
Family Medicine in Salem, OR
About Frederick G Cook Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK G COOK MD (NPI 1083697965) is an individual family medicine provider in Salem, Oregon, licensed in Oregon (MD12674) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frederick G Cook Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Frederick Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97304
- Reassigned Medicare billing, Oregon enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALEM, OR 97306
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Frederick Cook's NPI number?
The NPI number for Frederick Cook is 1083697965. It was assigned to this individual provider in the NPPES registry on November 23, 2005.
Where is Frederick Cook located?
Frederick Cook practices at 5050 Skyline Village Loop S, Salem, OR 97306. The listed phone number is (503) 391-1110.
What is Frederick Cook's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Frederick Cook enrolled in Medicare?
Yes. Frederick Cook is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Frederick Cook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Cook reassigns Medicare benefits to Willamette Valley Hospice Inc (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frederick Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Frederick Cook was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Frederick G Cook, MD · NPI 1083697965
Family Medicine physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since November 23, 2005.
## Identity
- **NPI:** 1083697965 (Entity type: Individual)
- **Enumerated:** November 23, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD12674 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306-9490
- **Phone:** (503) 391-1110 · **Fax:** (503) 370-4237
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Willamette Valley Hospice Inc (NPI 1093715070, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 08WCJXMC; Medicaid 233585 (OR); Medicare UPIN C92429
---
Source: [NPI Profile](https://npiprofile.com/npi/1083697965) · Data from the CMS NPPES public registry.