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STACEY MICHELLE COOK PA-C
NPI 1265823306
Physician Assistant in East Syracuse, NY

Active since February 11, 2015PECOS Enrolled
4939 BRITTONFIELD PKWY, SUITE 101, EAST SYRACUSE, NY 13057(315) 463-1600(315) 634-6793 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Michelle Cook Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY MICHELLE COOK PA-C (NPI 1265823306) is an individual physician assistant in East Syracuse, New York, licensed in New York (018439) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265823306
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY MICHELLE COOKCredential: PA-C
Location Address4939 BRITTONFIELD PKWY, SUITE 101East Syracuse, NY 13057-9208
Mailing Address4939 Brittonfield Pkwy, Suite 101East Syracuse, NY 13057-9208 · (315) 463-1600 · Fax (315) 634-6793
Phone(315) 463-1600
Fax(315) 634-6793
Sole ProprietorNo
Enumeration DateFebruary 11, 2015
✔ NPI 1265823306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 018439
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4939 BRITTONFIELD PKWY, East Syracuse, NY 13057
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Michelle Cook Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARTHA G. ALIWALAS M.D.
Family Medicine
4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057
Onondaga County (315) 463-1600
MR. MATTHEW WILLIAM EDDY MSPT
Specialist
4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057
Onondaga County (315) 234-7322
RACHAEL LOUISE CAVELLI NP
Nurse Practitioner
4939 BRITTONFIELD PKWY, CNY FAMILY CARE
EAST SYRACUSE, NY 13057
Onondaga County (315) 463-1600
MICHAEL J PICCIANO M.D.
Family Medicine
4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057
Onondaga County (315) 463-1600
PETER J CHRISTIANO M.D.
Family Medicine
4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057
Onondaga County (315) 463-1600
DR. MAI-ANH DOAN MD
Obstetrics & Gynecology
4939 BRITTONFIELD PKWY, SUITE 211, BLDG. B
EAST SYRACUSE, NY 13057
Onondaga County (315) 446-4400
MICHAEL FIACCO MD
Family Medicine
4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057
Onondaga County (315) 463-1600
LOUIS BONAVITA JR. M.D.
Family Medicine
4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057
Onondaga County (315) 463-1600

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 Stacey Cook's NPI number?

The NPI number for Stacey Cook is 1265823306. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Stacey Cook located?

Stacey Cook practices at 4939 Brittonfield Pkwy Suite 101, East Syracuse, NY 13057. The listed phone number is (315) 463-1600.

What is Stacey Cook's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Cook enrolled in Medicare?

Yes. Stacey Cook is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Cook was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.