SAMUEL ANNIBALE COOK PA-C
NPI 1679146732
Physician Assistant in College Park, MD

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
4701 MELBOURNE PL, COLLEGE PARK, MD 20740(301) 345-4400(301) 345-4200 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Annibale Cook Pa-c NPPES

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

SAMUEL ANNIBALE COOK PA-C (NPI 1679146732) is an individual physician assistant in College Park, Maryland, licensed in Maryland (C0008045) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679146732
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL ANNIBALE COOKCredential: PA-C
Location Address4701 MELBOURNE PLCollege Park, MD 20740-2540
Mailing Address6737 Old Waterloo Rd Apt 114Elkridge, MD 21075-7114 · (503) 758-4931
Fax(301) 345-4200
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
NPI 1679146732 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 MD · C0008045
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.
4701 MELBOURNE PL, College Park, MD 20740

Other Identifiers 2

Other1169827Nccpa
OtherC0008045MD · Maryland Board Of Physicians

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Annibale Cook Pa-c 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 ID4587037320
PECOS Enrollment IDI20240226003813, I20240226003931
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.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
234 services230 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
116 services116 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
75 services74 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
73 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services69 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20740 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preferred Provider Organization
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Clinical Medical Laboratory
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Clinic/Center (Urgent Care)
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Physical Therapist
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Clinical Medical Laboratory
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Physician Assistant
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Physician Assistant
4701 MELBOURNE PL
COLLEGE PARK, MD 20740
Nurse Practitioner (Primary Care)
4701 MELBOURNE PL
COLLEGE PARK, MD 20740

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 Samuel Cook's NPI number?

The NPI number for Samuel Cook is 1679146732. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Samuel Cook located?

Samuel Cook practices at 4701 Melbourne Pl, College Park, MD 20740. The listed phone number is (301) 345-4400.

What is Samuel Cook's specialty?

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

Is Samuel Cook enrolled in Medicare?

Yes. Samuel 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.

When was this NPI record last updated?

The NPPES record for Samuel Cook was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.