DR. COURTNEY ALEXANDRA COOK (DO) – Dermatology Physician, NPI 1285263038
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in OK
Provider Addresses for DR. COURTNEY ALEXANDRA COOK (DO)
1813 S MAPLEWOOD AVE
TULSA, OK 741127218
Phone: (580) 374-1795
Type: Mailing
4502 E 41ST ST
TULSA, OK 741352536
Phone: (918) 619-4400
Fax: (918) 619-4152
Type: Location
841 NW 33RD ST
OKLAHOMA CITY, OK 731187248
Phone: (580) 374-1795
Type: Mailing
619 NE 13TH ST
OKLAHOMA CITY, OK 731045001
Phone: (405) 271-6110
Type: Location
4502 E 41st St
Tulsa, OK 741352536
Phone: (918) 619-4400
Fax: (918) 619-4152
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $6,415.
Total Amount is formed as General ($6,415) + Research ($0) + Ownership ($0) = $6,415.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($2,243).
Total Amount
$6,415
General + Research + Ownership
Payments
84
Total payment records
General Amount
$6,415
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,243 |
| Lilly USA, LLC | $752 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $456 |
| GENZYME CORPORATION | $248 |
| Arcutis Biotherapeutics, Inc. | $242 |
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: 2024-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241106004254 | I | Dermatology | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OK | |
| D E R M A T O L O G Y | OK | |
| - | OK | |
| D E R M A T O L O G Y | OK | |
| D E R M A T O L O G Y | OK | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | OK | |
| D E R M A T O L O G Y | OK |
Reviews
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