SAMUEL GEORGE COOK (DO) – Internal Medicine Physician, NPI 1144782079
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
297 RHEUMATOLOGY in OH
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Provider Addresses for SAMUEL GEORGE COOK (DO)
East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States
DAYTON, OH 454092902
Phone: (937) 208-2004
Fax: (937) 208-8828
Type: Location
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
Phone: (520) 626-5797
Fax: (520) 626-5721
Type: Mailing
2800 E AJO WAY STE 103
TUCSON, AZ 857136204
Phone: (520) 694-8888
Fax: (520) 505-2476
Type: Mailing
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: 2025-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250508001960 | I | Rheumatology | AZ | TBD |
| I20251028000049 | I | Rheumatology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 98 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 66 | 27 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | TX | |
| - | CO | |
| Family Practice | AZ | |
| Emergency Medicine | AZ | |
| R H E U M A T O L O G Y | AZ | |
| Nurse Practitioner | AZ |
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