ERIC T COOK DO
NPI 1295728871
Emergency Medicine in Hammond, IN

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
5454 HOHMAN AVE, HAMMOND, IN 46320(219) 933-2077(219) 864-2649 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric T Cook Do NPPES

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

ERIC T COOK DO (NPI 1295728871) is an individual emergency medicine provider in Hammond, Indiana, licensed in Indiana (02002624A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1295728871
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameERIC T COOKCredential: DO
Location Address5454 HOHMAN AVEHammond, IN 46320-1931
Mailing AddressPo Box 1000Dyer, IN 46311-0800 · (219) 864-2107 · Fax (219) 864-2649
Fax(219) 864-2649
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1999
Enumeration DateAugust 29, 2005
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1295728871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 02002624A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5454 HOHMAN AVE, Hammond, IN 46320

Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-9515 · Fax (812) 353-9275

Other Identifiers 3

Medicaid036103710IL
Medicaid200444240IN
Other90001358IL · Bcbsil

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric T Cook Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436288909
PECOS Enrollment IDI20100520000736, I20250424002403
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Eric Cook reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
Emergency Medicine
1141 HOSPITAL DR NW
Corydon, IN 47112
  • Reassigned Medicare billing, Indiana enrollment
  • 214 clinicians in this Medicare group
Multi-Specialty
450 E MAIN ST
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
  • 31 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
442 services426 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
182 services180 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services64 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46320 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
5454 HOHMAN AVE
HAMMOND, IN 46320
Obstetrics & Gynecology
5454 HOHMAN AVE
HAMMOND, IN 46320
Nurse Anesthetist, Certified Registered
5454 HOHMAN AVE
HAMMOND, IN 46320
Emergency Medicine
5454 HOHMAN AVE
HAMMOND, IN 46320
Emergency Medicine
5454 HOHMAN AVE
HAMMOND, IN 46320
Durable Medical Equipment & Medical Supplies
5454 HOHMAN AVE
HAMMOND, IN 46320
Radiology (Body Imaging)
5454 HOHMAN AVE
HAMMOND, IN 46320
Physical Therapist
5454 HOHMAN AVE
HAMMOND, IN 46320

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 Eric Cook's NPI number?

The NPI number for Eric Cook is 1295728871. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Eric Cook located?

Eric Cook practices at 5454 Hohman Ave, Hammond, IN 46320. The listed phone number is (219) 933-2077.

What is Eric Cook's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Eric Cook enrolled in Medicare?

Yes. Eric Cook is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eric Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Cook reassigns Medicare benefits to 4 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Clarksville Emergency Group, PC (Corydon, IN) and Madison Memorial Hospital (Rexburg, ID). Each 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 Eric Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Cook accept?

Health plans from CareSource, Cigna Healthcare, Moda Health Plan, Inc. and Select Health list Eric Cook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Cook affiliated with any hospitals?

According to CMS data, Eric Cook is affiliated with Madison Memorial Hospital, Franciscan Health Dyer and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Eric Cook was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.