RICHARD DOUGLAS COOKS AGACNP-BC
NPI 1861911687
Nurse Practitioner - Acute Care in Birmingham, AL

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
78.65/100
CMS Quality Rating
619 19TH CT S, BIRMINGHAM, AL 35205(205) 975-0512(205) 975-6404 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Richard Douglas Cooks Agacnp-bc NPPES

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

RICHARD DOUGLAS COOKS AGACNP-BC (NPI 1861911687) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-134341) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1861911687
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameRICHARD DOUGLAS COOKSCredential: AGACNP-BC
Location Address619 19TH CT SBirmingham, AL 35205-6405
Mailing Address309 Hillside AveBessemer, AL 35020-7308 · (205) 800-0871
Fax(205) 975-6404
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateFebruary 1, 2024
✔ NPI 1861911687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-134341
619 19TH CT S, Birmingham, AL 35205

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35233-1900 · Phone (410) 736-3223 · Fax (205) 996-9905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Douglas Cooks Agacnp-bc 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 ID1658637715
PECOS Enrollment IDI20200709000578
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Richard Cooks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Alabama enrollment
  • 229 clinicians in this Medicare group
Hospitalist
301 HOSPITAL DR
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 67 clinicians in this Medicare group
Psychiatry
827 LINDEN AVE STE B
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 128 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
35 services34 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.
23 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

78.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.4
Improvement Activities40
Cost56.9

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier12 claims12 services$15.38 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
1 supplier12 claims12 services$72.18 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$6.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Cooks's NPI number?

The NPI number for Richard Cooks is 1861911687. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Richard Cooks located?

Richard Cooks practices at 619 19th Ct S, Birmingham, AL 35205. The listed phone number is (205) 975-0512.

What is Richard Cooks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Richard Cooks enrolled in Medicare?

Yes. Richard Cooks 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.

Which organizations bill Medicare for Richard Cooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Cooks reassigns Medicare benefits to 4 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Hospital Medicine Associates LLC (Baton Rouge, LA), Mdics At Bwmc LLC (Glen Burnie, MD) and Maryland General Clinical Practice Group, Inc. (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Cooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Richard Cooks affiliated with any hospitals?

According to CMS data, Richard Cooks is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Cooks was last updated on February 1, 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.