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DR. WILLIAM E COOKE JR. M.D.
NPI 1699749770
Family Medicine in Austin, IN

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
25 W MAIN ST, AUSTIN, IN 47102(812) 794-8100(812) 794-8200 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Jul 3, 2018 (2 updates tracked since 2018).

About Dr. William E Cooke Jr. M.d. NPPES

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

DR. WILLIAM E COOKE JR. M.D. (NPI 1699749770) is an individual family medicine provider in Austin, Indiana, licensed in Indiana (01056407A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Indiana University School Of Medicine (2001).

NPPES Registry Identity

NPI1699749770
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM E COOKE JR.Credential: M.D.
Location Address25 W MAIN STAustin, IN 47102
Mailing AddressPo Box 24New Albany, IN 47151-0024 · (812) 252-9020
Phone(812) 794-8100
Fax(812) 794-8200
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2001
Enumeration DateFebruary 15, 2006
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1699749770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01056407A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01056407A (IN)
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 01056407A (IN)
25 W MAIN ST, Austin, IN 47102
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Other Identifiers 2

Medicaid200392200IN
Medicaid200490500AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. William E Cooke Jr. M.d. 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 ID7719955251
PECOS Enrollment IDI20040924000609
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number151334
Location1451 N Gardner StScottsburg, IN 47170 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47102 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
42%427 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
80%86 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%843 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
32%492 patients2/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
18%2,103 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers69 claims69 services$13.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers79 claims79 services$69.59 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 13

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

WELL CARE COMMUNITY HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100
MRS. WHITNEY HALL NP
Nurse Practitioner (Family)
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100
JESSICA KEHL NP
Nurse Practitioner (Family)
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100
KAITLIN RENEE DUNN PA-C
Physician Assistant
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100
CAROLYN JEAN COOKE MD
Family Medicine
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100
OSCAR VALENCIA PHARMD
Pharmacist
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 227-3917
MRS. JENNIFER WINANS APRN
Nurse Practitioner (Family)
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100
FOUNDATIONS FAMILY MEDICINE PC
Clinic/Center (Multi-Specialty)
25 W MAIN ST
AUSTIN, IN 47102
Scott County (812) 794-8100

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 William Cooke's NPI number?

The NPI number for William Cooke is 1699749770. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is William Cooke located?

William Cooke practices at 25 W Main St, Austin, IN 47102. The listed phone number is (812) 794-8100.

What is William Cooke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Cooke enrolled in Medicare?

Yes. William Cooke 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.

What insurance does William Cooke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list William Cooke 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 William Cooke affiliated with any hospitals?

According to CMS data, William Cooke is affiliated with Clark Memorial Hospital and Scott Memorial Health.

When was this NPI record last updated?

The NPPES record for William Cooke was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.