DR. CHARLES R COOK (D. C.) – Sports Physician Chiropractor, NPI 1134189202

DR. CHARLES R COOK (D. C.) is a healthcare provider. based in Jordan, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D. C.. They hold a License No. 3717 (MN). The NPI Number for DR. CHARLES R COOK (D. C.) is 1134189202

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES R COOK (D. C.)
NPI
1134189202
Phone
(952) 492-6363
Address
108 CREEK LN S
Enumeration Date
24 March 2006
Last Update Date
28 July 2010

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
8729062781
Group Practice PAC ID
3274517222
Professional Enrollment ID
I20101111000485
Address ID
MN553521202Jo108XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,649 CHIROPRACTIC in MN

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Provider Addresses for DR. CHARLES R COOK (D. C.)

  • 108, Creek Ln South, Jordan, Scott County, Minnesota, 55352, United States

    JORDAN, MN 553521202

    Phone: (952) 492-6363

    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: 2010-11-11

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
I20101111000485IChiropracticMNTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions12221$0
View full utilization report →

Insurance plans in this area (ZIP 55352)

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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: 3274517222View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Does DR. CHARLES R COOK (D. C.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CHARLES R COOK (D. C.) uses 1134189202.
Does CMS list DR. CHARLES R COOK (D. C.) as active?
Yes — DR. CHARLES R COOK (D. C.) is active in the NPI listing used on this page.
What is DR. CHARLES R COOK (D. C.) best known for clinically?
Directory data describes DR. CHARLES R COOK (D. C.) with Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
Does DR. CHARLES R COOK (D. C.) list a practice location?
Patients near Jordan, Minnesota may find DR. CHARLES R COOK (D. C.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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