SEAN PHILIP ROOKS M.D.
NPI 1316478274
Emergency Medicine in Cortez, CO

Active since March 22, 2017PECOS Enrolled
82.45/100
CMS Quality Rating
1311 N MILDRED RD, CORTEZ, CO 81321(970) 565-6666 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Mar 22, 2021, Mar 17, 2021 and 3 more (6 updates tracked since 2017).

About Sean Philip Rooks M.d. NPPES

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

SEAN PHILIP ROOKS M.D. (NPI 1316478274) is an individual emergency medicine provider in Cortez, Colorado, licensed in Colorado (DR.0063780) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316478274
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN PHILIP ROOKSCredential: M.D.
Location Address1311 N MILDRED RDCortez, CO 81321-2231
Mailing Address28260 Road H.6Cortez, CO 81321-9128 · (505) 503-5174
Sole ProprietorYes
Enumeration DateMarch 22, 2017
Last NPPES UpdateNovember 1, 20226 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1316478274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CO · DR.0063780✔ Licensed in NM · MD2019-754
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.
1311 N MILDRED RD, Cortez, CO 81321

Secondary Practice Locations 2

Location 1Msc 11 6025, 1 University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-5062
Location 2801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Philip Rooks M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sean Rooks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
US HIGHWAY 491 NORTH
Shiprock, NM 87420
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
Orthopaedic Surgery
2300 E 30TH ST BLDG D-101
Farmington, NM 87401
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
Emergency Medicine
1016 E ROOSEVELT AVE
Grants, NM 87020
  • Reassigned Medicare billing, New Mexico enrollment
  • 123 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 81321 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$19.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Emergency Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Registered Nurse
1311 N MILDRED RD
CORTEZ, CO 81321
Registered Nurse
1311 N MILDRED RD
CORTEZ, CO 81321
Family Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Anesthesiology
1311 N MILDRED RD
CORTEZ, CO 81321
Medicare Defined Swing Bed Unit
1311 N MILDRED RD
CORTEZ, CO 81321
Nurse Practitioner (Acute Care)
1311 N MILDRED RD
CORTEZ, CO 81321

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 Sean Rooks's NPI number?

The NPI number for Sean Rooks is 1316478274. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Sean Rooks located?

Sean Rooks practices at 1311 N Mildred Rd, Cortez, CO 81321. The listed phone number is (970) 565-6666.

What is Sean Rooks's specialty?

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

Is Sean Rooks enrolled in Medicare?

Yes. Sean Rooks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sean Rooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Rooks reassigns Medicare benefits to 3 organizations: Dhhs, Phs, Naihs, Shiprock Hospital (Shiprock, NM), San Juan Regional Medical Center Inc (Farmington, NM) and Fedko Emergency Physicians New Mexico LLC (Grants, NM). 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 Sean Rooks'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 Sean Rooks was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.