ANDREW COOK (DO) – Emergency Medicine Physician, NPI 1174562409

ANDREW COOK (DO) is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 1943 (WV). The NPI Number for ANDREW COOK (DO) is 1174562409

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW COOK (DO)
NPI
1174562409
Phone
(800) 875-0136
Address
4750 HEMPSTEAD STATION DR
Enumeration Date
5 June 2006
Last Update Date
21 April 2022

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
3044425151
Graduation Year
2001 (25 years ago)
PAC ID
9436042280
Group Practice PAC ID
6204735269
Professional Enrollment ID
I20050318000218
Address ID
WV251362116MO401XXAVEX300

Contacts

Secure Messaging
acook145891@direct.wvuhsdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

527 EMERGENCY MEDICINE in WV

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Provider Addresses for ANDREW COOK (DO)

  • 4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454295164

    Phone: (800) 875-0136

    Fax: (937) 619-4342

    Type: Mailing

  • 500, Cherry Street, Bluefield, Mercer County, West Virginia, 24701, United States

    BLUEFIELD, WV 247013306

    Phone: (304) 327-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: ABBVIE INC. ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$31
View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-18

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
I20050318000218IEmergency MedicineWVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45429)

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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: 6204735269View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Internal Medicine, HospitalistWV
Diagnostic RadiologyOH
G A S T R O E N T E R O L O G YWV
-WV
Emergency Medicine, Family PracticeOH
Diagnostic RadiologyPA
-WV
Emergency MedicineWV
Internal Medicine, Sleep MedicineWV

Reviews

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Frequently asked questions

Where can patients find ANDREW COOK (DO)'s NPI?
You can confirm ANDREW COOK (DO) with NPI 1174562409; it appears in the national provider directory.
Is ANDREW COOK (DO) currently active in the NPI registry?
CMS-published data lists ANDREW COOK (DO) as an active registrant.
Does ANDREW COOK (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for ANDREW COOK (DO). Clinical services aligned with this taxonomy classification.
Does ANDREW COOK (DO) practice in Ohio?
You will see Kettering, Ohio on file for ANDREW COOK (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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