DAVID COOK – Family Medicine Physician, NPI 1043955768
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for DAVID COOK
1604 Cleveland Rd
Colona, IL 612418970
Phone: (309) 949-2999
Fax: (309) 520-2566
Type: Location
1501 E GARDNER LN APT 614
PEORIA HEIGHTS, IL 616163625
Phone:
Type: Mailing
1221 E STATE ST
ROCKFORD, IL 611042231
Phone: (815) 972-1037
Type: Location
1604 CLEVELAND RD
COLONA, IL 612418970
Phone: (309) 949-2999
Fax: (309) 520-2566
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
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: 2023-09-15
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230915001313 | I | Family Practice | IL | TBD |
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.
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 61241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| C H I R O P R A C T I C | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Internal Medicine, Rheumatology | IL | |
| Orthopedic Surgery | WI | |
| C H I R O P R A C T I C | IL | |
| Anesthesiology, Pain Management, Interventional Pain Management, Anesthesiology, Critical Care (Intensivists) | IA |
Reviews
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