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RICHARD EUGENE COOK JR. M.D.
NPI 1811970056
Internal Medicine in Waldorf, MD

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
3450 OLD WASHINGTON RD, SUITE 103, WALDORF, MD 20602(301) 472-4290(240) 607-3609 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Eugene Cook Jr. M.d. NPPES

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

RICHARD EUGENE COOK JR. M.D. (NPI 1811970056) is an individual internal medicine provider in Waldorf, Maryland, licensed in Maryland (D0063483) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Matteson, and is a graduate of Howard University College Of Medicine (2002).

NPPES Registry Identity

NPI1811970056
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD EUGENE COOK JR.Credential: M.D.
Location Address3450 OLD WASHINGTON RD, SUITE 103Waldorf, MD 20602-3248
Mailing AddressPo Box 215Bryantown, MD 20617-0215 · (301) 472-4290 · Fax (240) 607-3609
Phone(301) 472-4290
Fax(240) 607-3609
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2002
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
✔ NPI 1811970056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0063483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3450 OLD WASHINGTON RD, Waldorf, MD 20602
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Secondary Practice Location 1

Location 1600 Holiday Plaza Dr Ste 501Matteson, IL 60443-2359 · Phone (312) 437-1023

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 Eugene Cook 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 ID2567489909
PECOS Enrollment IDI20051025001114
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
233 services87 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
141 services75 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
74 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 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.
29 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,275 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%548 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%141 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%573 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%561 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
75%561 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
44%561 patients
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$185.34 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 12

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

MICHIA JOHNSON HARRIS DDS
Dentist (Pediatric Dentistry)
3450 OLD WASHINGTON RD, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-6556
DR. BRADLEY J OLSON DDS
Dentist (General Practice)
3450 OLD WASHINGTON RD, SUITE 301
WALDORF, MD 20602
Charles County (301) 645-6611
SOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
3450 OLD WASHINGTON RD, SUITE 201
WALDORF, MD 20602
Charles County (301) 645-6911
UB WALDORF DENTAL
Clinic/Center (Dental)
3450 OLD WASHINGTON RD
WALDORF, MD 20602
Charles County (917) 915-4504
DR. LANE T KNIGHT DDS
Dentist (Oral and Maxillofacial Pathology)
3450 OLD WASHINGTON RD, STE 201
WALDORF, MD 20602
Charles County (301) 645-6911
SOUTHERN MARYLAND CHIROPRACTIC CENTER DAVID E. KANE PC
Chiropractor
3450 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 638-7300
ADVANCED SURGICARE OF MARYLAND P.A
Specialist
3450 OLD WASHINGTON RD, SUITE 202
WALDORF, MD 20602
Charles County (301) 645-3590
MR. DAVID EDWARD KANE D.C.
Chiropractor
3450 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 638-7300

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 Cook's NPI number?

The NPI number for Richard Cook is 1811970056. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Richard Cook located?

Richard Cook practices at 3450 Old Washington Rd Suite 103, Waldorf, MD 20602. The listed phone number is (301) 472-4290.

What is Richard Cook's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Cook enrolled in Medicare?

Yes. Richard 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 Richard Cook was last updated on July 13, 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.