RICHARD HENRY COOKE MD
NPI 1730127507
Internal Medicine - Cardiovascular Disease in Richmond, VA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298(804) 828-4571(804) 828-7710 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Henry Cooke Md NPPES

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

RICHARD HENRY COOKE MD (NPI 1730127507) is an individual cardiovascular disease provider in Richmond, Virginia, licensed in Virginia (0101243622) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1730127507
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRICHARD HENRY COOKECredential: MD
Location Address1250 E MARSHALL ST, INTERNAL MEDICINERichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-0051 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-7710
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1730127507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101243622
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 0101243622 (VA)
1250 E MARSHALL ST, Richmond, VA 23298

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

Richard Henry Cooke Md 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 ID9830266055
PECOS Enrollment IDI20080930000171
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 14

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
115 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 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.
72 services30 patients
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.
59 services45 patients
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.
54 services41 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
50 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers75 claims11,670 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims3,300 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers32 claims4,920 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
9 suppliers62 claims62 services$17.74 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
10 suppliers83 claims89 services$12.48 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.

Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298

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 Richard Cooke's NPI number?

The NPI number for Richard Cooke is 1730127507. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Richard Cooke located?

Richard Cooke practices at 1250 E Marshall St Internal Medicine, Richmond, VA 23298. The listed phone number is (804) 828-4571.

What is Richard Cooke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Richard Cooke enrolled in Medicare?

Yes. Richard 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.

Is Richard Cooke affiliated with any hospitals?

According to CMS data, Richard Cooke is affiliated with Mary Washington Hospital, Medical College Of Virginia Hospitals, Vcu Health Tappahannock Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard Cooke was last updated on February 29, 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.