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CHARLES W COOK JR. MD
NPI 1861465601
Obstetrics & Gynecology in Corsicana, TX

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
400 HOSPITAL DR, STE 210, CORSICANA, TX 75110(903) 641-4835(903) 641-4846 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles W Cook Jr. Md NPPES

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

CHARLES W COOK JR. MD (NPI 1861465601) is an individual obstetrics & gynecology provider in Corsicana, Texas, licensed in Texas (H9860) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Navarro Regional Hospital, and is a graduate of University Of Texas Medical School At Houston (1990).

NPPES Registry Identity

NPI1861465601
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCHARLES W COOK JR.Credential: MD
Location Address400 HOSPITAL DR, STE 210Corsicana, TX 75110-2489
Mailing Address400 Hospital Dr, Suite 111Corsicana, TX 75110-2489 · (903) 641-4895 · Fax (903) 641-4894
Phone(903) 641-4835
Fax(903) 641-4846
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1990
Enumeration DateFebruary 10, 2006
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1861465601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · H9860
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 HOSPITAL DR, Corsicana, TX 75110
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Other Identifiers 2

Medicaid047015503TX
Other84076XTX · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Charles W Cook Jr. 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 ID143204396
PECOS Enrollment IDI20050706001027
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 4

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 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.
31 services26 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450447
Location3201 West Highway 22Corsicana, TX 75110 · Navarro County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75110 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%211 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%857 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
52%233 patients3/55-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
15%46 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
65%46 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,500 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
27%64 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
36%64 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%925 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 910 patients
Patients tobacco: 6% · 63 patients
88%910 patients4/55-star benchmark: 98%
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.

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.

MICHAEL ROBERT MALONE DO
Orthopaedic Surgery
400 HOSPITAL DR, STE 201
CORSICANA, TX 75110
Navarro County (903) 641-4870
DEEPAK C PATEL MD
Internal Medicine
400 HOSPITAL DR, STE. 101
CORSICANA, TX 75110
Navarro County (903) 641-3800
DELORES GWENDOLYN COOK FNP
Nurse Practitioner (Family)
400 HOSPITAL DR, SUITE #106
CORSICANA, TX 75110
Navarro County (903) 872-2923
SHAHZAD M SYED M.D
Internal Medicine (Gastroenterology)
400 HOSPITAL DR, STE 207
CORSICANA, TX 75110
Navarro County (903) 654-4880
REGIONAL EMPLOYEE ASSISTANCE PROGRAM
Durable Medical Equipment & Medical Supplies
400 HOSPITAL DR, SUITE 201
CORSICANA, TX 75110
Navarro County (903) 872-0003
TARA BZDOK RD, CSR, LD
Dietitian, Registered
400 HOSPITAL DR, STE 106
CORSICANA, TX 75110
Navarro County (512) 809-3689
ERON D CROUCH MD
Internal Medicine (Cardiovascular Disease)
400 HOSPITAL DR, STE 101
CORSICANA, TX 75110
Navarro County (903) 641-3800
DR. NOHA MATAOUI MD
Family Medicine
400 HOSPITAL DR, SUITE 104
CORSICANA, TX 75110
Navarro County (903) 641-3848

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 Charles Cook's NPI number?

The NPI number for Charles Cook is 1861465601. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Charles Cook located?

Charles Cook practices at 400 Hospital Dr Ste 210, Corsicana, TX 75110. The listed phone number is (903) 641-4835.

What is Charles Cook's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Charles Cook enrolled in Medicare?

Yes. Charles 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.

What insurance does Charles Cook accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Charles Cook 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 Charles Cook affiliated with any hospitals?

According to CMS data, Charles Cook is affiliated with Navarro Regional Hospital.

When was this NPI record last updated?

The NPPES record for Charles Cook was last updated on September 11, 2020. 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.