DR. TYSON WILLIS COOK (M.D.) – Emergency Medicine Physician, NPI 1073642914

DR. TYSON WILLIS COOK (M.D.) is a healthcare provider. based in Murray, Utah. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 330938-1205 (UT). The NPI Number for DR. TYSON WILLIS COOK (M.D.) is 1073642914

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYSON WILLIS COOK (M.D.)
NPI
1073642914
Phone
(801) 507-6600
Address
5121 S COTTONWOOD ST
Enumeration Date
5 March 2007
Last Update Date
20 May 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8015079700
Graduation Year
2006 (20 years ago)
PAC ID
8022163666
Group Practice PAC ID
1153307277
Professional Enrollment ID
I20160523001732
Address ID
UT841075701SA5121XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

487 EMERGENCY MEDICINE in UT

Provider Addresses for DR. TYSON WILLIS COOK (M.D.)

  • 5121 S COTTONWOOD ST

    MURRAY, UT 841075701

    Phone: (801) 507-6600

    Type: Location

  • PO BOX 30180

    SALT LAKE CITY, UT 841300180

    Phone: (704) 414-0423

    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: 2016-05-23

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
I20160523001732IEmergency MedicineUTTBD

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
99285Emergency department visit with high level of medical decision making188182$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only158152$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only131126$0
99291Critical care, first 30-74 minutes5151$0
99284Emergency department visit with moderate level of medical decision making4646$0
View full utilization report →

Insurance plans in this area (ZIP 84107)

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Provider's Procedures

DR. TYSON WILLIS COOK (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEUT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report165159

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: 1153307277View full group profile
NameSpecialtyState
Emergency MedicineUT
Emergency MedicineUT
Emergency MedicineUT
Nurse PractitionerCA
-UT
Emergency MedicineUT
Nurse PractitionerUT
-UT
Emergency MedicineUT
Emergency MedicineUT

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Frequently asked questions

What unique ID ties claims to DR. TYSON WILLIS COOK (M.D.)?
NPI 1073642914 is assigned to DR. TYSON WILLIS COOK (M.D.) under the national enumeration system.
Is DR. TYSON WILLIS COOK (M.D.) active in the national directory?
DR. TYSON WILLIS COOK (M.D.)'s public NPI profile is in an active state.
What does DR. TYSON WILLIS COOK (M.D.) treat or focus on?
Patients typically see DR. TYSON WILLIS COOK (M.D.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. TYSON WILLIS COOK (M.D.)?
We surface Murray, Utah for DR. TYSON WILLIS COOK (M.D.) based on available NPPES addresses.
Is DR. TYSON WILLIS COOK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1073642914. Always confirm identity and privileges with the practice and licensing boards.