DR. BRIAN C COOK MD NPI 1598783102
Radiology - Radiation Oncology in Clinton, NC
About DR. BRIAN C COOK MD
Brian Cook is a provider established in Clinton, North Carolina and his medical specialization is Radiology with a focus in radiation oncology with more than 23 years of experience. He graduated from University Of Texas Medical School At Houston in 2001. The healthcare provider is registered in the NPI registry with number 1598783102 assigned on July 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 2006-01181 (NC). The provider is registered as an individual and his NPI record was last updated 7 years ago.
| NPI | 1598783102 |
| Provider Name | DR. BRIAN C COOK MD |
| Location Address | 215 BEAMAN STREET CLINTON, NC 28328 |
| Location Phone | (910) 590-2065 |
| Mailing Address | 2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS FORT MYERS, FL 33907 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2001 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-18-2006 |
| Last Update Date | 10-20-2016 |
Brian 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.
Brian 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. According to Medicare claims data he has hospital affiliations with Sampson Regional Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $43.16 for a new patient copayment and $17.73 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of 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 Code | 2085R0001X |
| Classification | Radiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Radiation Oncology |
| License No. | 2006-01181 |
| License State | NC |
| Taxonomy Description | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Aetna
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
215 BEAMAN STREET
CLINTON, NC
ZIP 28328
Phone: (910) 590-2065
Fax: (910) 590-2964
Mailing Address
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS, FL
ZIP 33907
Phone: (239) 931-7342
Fax: (239) 931-7385
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8527161868 |
| PECOS Enrollment ID | I20070307000340 |
| 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 Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
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 28328 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99205 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.51 | $172.65 | $172.65 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.12 | $43.16 | $43.16 |
| 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 |
| $17.43 | $140.98 | $70.95 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.35 | $35.24 | $17.73 |
* 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.
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.
- 332Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)
- 259Calculation of radiation therapy dose (HCPCS:77300)
- 178Radiation treatment management, 5 treatments (HCPCS:77427)
- 111Radiation treatment devices, design and construction, complex (HCPCS:77334)
- 42Management of radiation therapy, complex (HCPCS:77263)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brian Cook is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SAMPSON REGIONAL MEDICAL CENTER | 607 BEAMAN ST CLINTON, NC 28328 | (910) 592-8511 | Acute Care Hospitals | 340024 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | No | |||
Taxonomy Description: an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. | |||||||
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9149123 | OTHER (01) | NC | AETNA |
| NC4084A | MEDICARE PIN (08) | NC | |
| P01016588 | OTHER (01) | NC | RAILROAD MEDICARE |
| 1168736 | OTHER (01) | NC | GATEWAY HEALTH |
| CIGNA | OTHER (01) | NC | 1960083 |
| 5904526 | MEDICAID (05) | NC |
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. | |||||||||
| 1 | 5 | 9 | 8 | 7 | 8 | 3 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 8 | 6 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 8 + 6 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1598783102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356361174 | SAMPSON RADIATION ONCOLOGY, PA Organization | Radiology (Radiation Oncology) | 215 BEAMAN STREET CLINTON, NC 28328 (910) 590-2065 |
| 1164500716 | SAMPSON REGIONAL MEDICAL CENTER Organization | Clinic/Center (Oncology, Radiation) | 215 BEAMAN STREET CLINTON, NC 28328 (910) 592-8511 |
Frequently Asked Questions
What is Dr. Brian Cook MD NPI number?
The NPI number assigned to this healthcare provider is 1598783102, enumerated in the NPI registry as an "individual" on July 18, 2006
Where is the provider located?
The provider is located at 215 Beaman Street Clinton, Nc 28328 and the phone number is (910) 590-2065
What is the provider specialty code?
The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology
How many years of experience does Dr. Brian Cook MD have?
The provider has more than 23 years of experience. He graduated from University Of Texas Medical School At Houston in 2001.
What insurance does Dr. Brian Cook MD accept?
The provider might be accepting Aetna, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Brian Cook MD registered in PECOS?
Yes, as of September 14, 2023 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 Dr. Brian Cook MD?
Medicare beneficiaries should expect a typical cost of $172.65 with an average copayment of $43.16 for new patient appointments. Established patients should expect a typical charge of $70.95 and an average copayment of 17.73. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Brian Cook MD?
The most common procedures or services performed by this practitioner are: Ct scan guidance for insertion of radiation therapy fields, Calculation of radiation therapy dose, Radiation treatment management, 5 treatments, Radiation treatment devices, design and construction, complex and Management of radiation therapy, complex.
Is Dr. Brian Cook MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: SAMPSON REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on July 18, 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].
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