PAULA JANE COOK (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1922209386
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAULA JANE COOK (M.D.)
650 S KOMAS DR STE 208
SALT LAKE CITY, UT 841081241
Phone: (801) 587-6336
Type: Location
1175 E CUTLER RD
SALT LAKE CITY, UT 841062471
Phone: (801) 671-2454
Type: Mailing
382 W CARE CAMPUS DR
MOAB, UT 845322331
Phone: (435) 719-3970
Type: Location
650 S Komas Dr Ste 208
Salt Lake City, UT 841081241
Phone: (801) 587-6336
Type: Location
127, 500 East, Salt Lake City, Salt Lake County, Utah, 84102, United States
SALT LAKE CITY, UT 841021959
Phone: (801) 587-6336
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($32).
Total Amount
$45
General + Research + Ownership
Payments
3
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $32 |
| GlaxoSmithKline, LLC. | $13 |
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: 2009-11-03
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 |
|---|---|---|---|---|
| I20091103000706 | I | Family Practice | UT | 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 84108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | UT | 90792 | Psychiatric diagnostic evaluation with medical services | 26 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Family Practice | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT |
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