DERRICK D KOOKER P.A.
NPI 1851373526
Physician Assistant - Surgical in Colorado Springs, CO

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
2312 N NEVADA AVE STE 235, COLORADO SPRINGS, CO 80907(719) 776-7600(719) 473-3553 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick D Kooker P.a. NPPES

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

DERRICK D KOOKER P.A. (NPI 1851373526) is an individual surgical provider in Colorado Springs, Colorado, licensed in Colorado (PA.0003166) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1851373526
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDERRICK D KOOKERCredential: P.A.
Location Address2312 N NEVADA AVE STE 235Colorado Springs, CO 80907-5312
Mailing Address2222 N Nevada Ave, SuiteColorado Springs, CO 80907-6819 · (719) 776-7600
Fax(719) 473-3553
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 17, 2005
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1851373526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · PA.0003166
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA961 (KY)
2312 N NEVADA AVE STE 235, Colorado Springs, CO 80907

Secondary Practice Location 1

Location 12222 N Nevada Ave, SuiteColorado Springs, CO 80907-6819 · Phone (719) 776-7600

Other Identifiers 2

Medicaid7100001170KY
OtherP00604454KY · Railroad Medicare

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

Derrick D Kooker P.a. 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 ID446254023
PECOS Enrollment IDI20111017000277
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

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.
12 services12 patients

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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Surgical)
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Physician Assistant
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Internal Medicine (Cardiovascular Disease)
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Surgery (Vascular Surgery)
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Physician Assistant
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Acute Care)
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907
Surgery (Surgical Oncology)
2312 N NEVADA AVE STE 235
COLORADO SPRINGS, CO 80907

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 Derrick Kooker's NPI number?

The NPI number for Derrick Kooker is 1851373526. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Derrick Kooker located?

Derrick Kooker practices at 2312 N Nevada Ave Ste 235, Colorado Springs, CO 80907. The listed phone number is (719) 776-7600.

What is Derrick Kooker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Derrick Kooker enrolled in Medicare?

Yes. Derrick Kooker 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 Derrick Kooker was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.