LYLE COOK (PA) – Physician Assistant, NPI 1316237498

LYLE COOK (PA) is a healthcare provider. based in Indio, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA21576 (CA). The NPI Number for LYLE COOK (PA) is 1316237498

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
LYLE COOK (PA)
NPI
1316237498
Phone
(760) 209-5567
Address
45975 Fargo St Ste 1
Enumeration Date
11 April 2011
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7605073310
Graduation Year
2007 (19 years ago)
PAC ID
1456529619
Group Practice PAC ID
6002989522
Professional Enrollment ID
I20110714000604
Address ID
CA922343310CA68555RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

Provider Addresses for LYLE COOK (PA)

  • 45975 Fargo St Ste 1

    Indio, CA 922014587

    Phone: (760) 209-5567

    Fax: (866) 811-0333

    Type: Location

  • PO BOX 6789

    CHICO, CA 959276789

    Phone: (530) 892-2300

    Fax: (530) 894-5890

    Type: Mailing

  • 44374 PALM ST

    INDIO, CA 922013117

    Phone: (760) 342-6616

    Fax: (760) 347-8276

    Type: Location

  • 285 COHASSET RD

    STE 100

    CHICO, CA 959265513

    Phone: (530) 892-2300

    Fax: (530) 894-5890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $695.

Total Amount is formed as General ($695) + Research ($0) + Ownership ($0) = $695.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ViiV Healthcare Company ($143).

Total Amount

$695

General + Research + Ownership

Payments

24

Total payment records

General Amount

$695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110714000604IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002989522View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantAZ
Internal Medicine, Infectious DiseaseCA
-CA
Physician AssistantCA
Emergency MedicineCA
P S Y C H I A T R YCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What unique ID ties claims to LYLE COOK (PA)?
NPI 1316237498 is assigned to LYLE COOK (PA) under the national enumeration system.
Is LYLE COOK (PA) currently active in the NPI registry?
CMS-published data lists LYLE COOK (PA) as an active registrant.
Can you summarize LYLE COOK (PA)'s specialty in plain language?
Clinically, the directory lists LYLE COOK (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LYLE COOK (PA)'s primary listing?
We display Indio, California because that is what the record indicates for LYLE COOK (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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