CHARMAYNE GAIL COOLEY (MD) – Emergency Medicine Physician, NPI 1720609803

CHARMAYNE GAIL COOLEY (MD) is a healthcare provider. based in Detroit, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036.166821 (IL). The NPI Number for CHARMAYNE GAIL COOLEY (MD) is 1720609803

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CHARMAYNE GAIL COOLEY (MD)
NPI
1720609803
Phone
(313) 966-3841
Address
DETROIT MEDICAL CENTER GME OFFICE DEPT OF EMERGENCY MED
Enumeration Date
30 April 2020
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6186352022
Graduation Year
2020 (6 years ago)
PAC ID
1254753676
Group Practice PAC ID
8022401256
Professional Enrollment ID
I20231002001576
Address ID
IL620881173ST400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for CHARMAYNE GAIL COOLEY (MD)

  • DETROIT MEDICAL CENTER GME OFFICE DEPT OF EMERGENCY MED

    4201 ST. ANTOINE, UHC-9C

    DETROIT, MI 48201

    Phone: (313) 966-3841

    Fax: (313) 966-1024

    Type: Mailing

  • 6071 W OUTER DR

    DETROIT, MI 482352624

    Phone: (313) 966-3300

    Type: Location

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: 2023-10-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231002001576IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making5555$0
99284Emergency department visit with moderate level of medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 8022401256View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerIL
Emergency Medicine, Family PracticeIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerMO
Hospitalist, Emergency MedicineMO
Emergency MedicineMI
Emergency MedicineIL
Family PracticeMO

Reviews

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Frequently asked questions

Does CHARMAYNE GAIL COOLEY (MD) have a public NPI I can cite?
Public records show CHARMAYNE GAIL COOLEY (MD) under NPI 1720609803.
Quick check: is CHARMAYNE GAIL COOLEY (MD) active?
Public NPPES data shows CHARMAYNE GAIL COOLEY (MD) with an active NPI status right now.
What type of care does CHARMAYNE GAIL COOLEY (MD) provide?
CHARMAYNE GAIL COOLEY (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to CHARMAYNE GAIL COOLEY (MD)?
CHARMAYNE GAIL COOLEY (MD) shows a connection to Detroit, Michigan in registry-derived data.
Who maintains CHARMAYNE GAIL COOLEY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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