CRYSTAL LYNN COOK (M.D.) – Family Medicine Physician, NPI 1285897827

CRYSTAL LYNN COOK (M.D.) is a healthcare provider. based in Versailles, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2011003927 (MO). The NPI Number for CRYSTAL LYNN COOK (M.D.) is 1285897827

Main info

Female
18 Years Of Experience
Name
CRYSTAL LYNN COOK (M.D.)
NPI
1285897827
Phone
(573) 378-4666
Address
901 KIDWELL DR
Enumeration Date
3 July 2008
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5736322777
Graduation Year
2008 (18 years ago)
PAC ID
5092984138
Group Practice PAC ID
2062456015
Professional Enrollment ID
I20110808000318
Address ID
MO651012854JE1511XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for CRYSTAL LYNN COOK (M.D.)

  • Kidwell Drive, Versailles, Morgan County, Missouri, 65084, United States

    VERSAILLES, MO 650841784

    Phone: (573) 378-4666

    Fax: (573) 378-5099

    Type: Location

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 704 W BUCHANAN ST

    CALIFORNIA, MO 650181228

    Phone: (573) 796-3111

    Fax: (573) 796-3042

    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: 2011-08-08

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
I20110808000318IFamily PracticeMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes347171$0
36415Insertion of needle into vein for collection of blood sample241142$0
99213Established patient office or other outpatient visit, 20-29 minutes12088$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10823$0
G0008Administration of influenza virus vaccine4747$0
View full utilization report →

Insurance plans in this area (ZIP 65084)

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Provider's Procedures

CRYSTAL LYNN COOK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO20610Aspiration and/or injection of large joint or joint capsule2923
FAMILY MEDICINEMO85610Blood test, clotting time8512
FAMILY MEDICINEMO90670Pneumococcal vaccine for injection into muscle4242

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: 2062456015View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeMO
Family PracticeMO
Nurse PractitionerMO
-MO
Family PracticeMO
Internal Medicine, Pediatric MedicineMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

What unique ID ties claims to CRYSTAL LYNN COOK (M.D.)?
NPI 1285897827 is assigned to CRYSTAL LYNN COOK (M.D.) under the national enumeration system.
Is CRYSTAL LYNN COOK (M.D.) active in the national directory?
CRYSTAL LYNN COOK (M.D.)'s public NPI profile is in an active state.
Can you summarize CRYSTAL LYNN COOK (M.D.)'s specialty in plain language?
Clinically, the directory lists CRYSTAL LYNN COOK (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does CRYSTAL LYNN COOK (M.D.) practice in Missouri?
You will see Versailles, Missouri on file for CRYSTAL LYNN COOK (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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