DR. THEODORE R COOK (MD) – Emergency Medicine Physician, NPI 1669582102

DR. THEODORE R COOK (MD) is a healthcare provider. based in Newton, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 04-23091 (KS). The NPI Number for DR. THEODORE R COOK (MD) is 1669582102

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE R COOK (MD)
NPI
1669582102
Phone
(316) 282-9614
Address
301 N MAIN ST
Enumeration Date
30 August 2006
Last Update Date
21 September 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6607472500
Graduation Year
1987 (39 years ago)
PAC ID
1951483304
Group Practice PAC ID
7416931506
Professional Enrollment ID
I20170911001437
Address ID
MO640933101WA403XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

452 EMERGENCY MEDICINE in KS

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Provider Addresses for DR. THEODORE R COOK (MD)

  • 301, North Main Street, Newton, Harvey County, Kansas, 67114, United States

    STE 300

    NEWTON, KS 671143444

    Phone: (316) 282-9614

    Fax: (316) 284-9602

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080124000468IEmergency MedicineKSTBD
I20170911001437IEmergency MedicineMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making129128$0
99283Emergency department visit with low level of medical decision making5553$0
99285Emergency department visit with high level of medical decision making5352$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 67114)

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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: 7416931506View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineGA
Certified Registered Nurse Anesthetist (Crna)MO
Physician AssistantNC
Internal Medicine, Hematology/OncologyGA
Hospitalist, Internal MedicineTX
A N E S T H E S I O L O G YMO
General SurgeryMO
Family Practice, Emergency MedicineKS

Reviews

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Frequently asked questions

What is the standard ID for DR. THEODORE R COOK (MD) in the U.S.?
In the U.S., DR. THEODORE R COOK (MD) is identified by NPI 1669582102.
Is DR. THEODORE R COOK (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. THEODORE R COOK (MD) as active.
What services align with DR. THEODORE R COOK (MD)'s listing?
DR. THEODORE R COOK (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. THEODORE R COOK (MD)?
DR. THEODORE R COOK (MD) is associated with Newton, Kansas in the same public data insurers reference.
Who maintains DR. THEODORE R COOK (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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