DR. KATHY P COOK (M.D.) – Dermatology Physician, NPI 1316034093

DR. KATHY P COOK (M.D.) is a healthcare provider. based in South burlington, Vermont. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 0420018773 (VT). The NPI Number for DR. KATHY P COOK (M.D.) is 1316034093

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHY P COOK (M.D.)
NPI
1316034093
Phone
(802) 660-8808
Address
321 DORSET ST
Enumeration Date
6 October 2006
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8026608808
Graduation Year
1987 (39 years ago)
PAC ID
7214909472
Group Practice PAC ID
3173939766
Professional Enrollment ID
I20250811003458
Address ID
VT054036639SO321XXSTXX300

Contacts

Secure Messaging
KC3380@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

39 DERMATOLOGY in VT

Provider Addresses for DR. KATHY P COOK (M.D.)

  • 321 DORSET ST

    SOUTH BURLINGTON, VT 054036639

    Phone: (802) 660-8808

    Type: Location

  • 500 Main St

    Suite 113

    Ames, IA 500106083

    Phone: (515) 232-3006

    Fax: (515) 232-3009

    Type: Location

  • Hy-Vee Drugstore, 500, Main Street, Ames, Story County, Iowa, 50010, United States

    SUITE 113

    AMES, IA 500106083

    Phone: (515) 232-3006

    Fax: (515) 232-3009

    Type: Location

  • 801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone: (920) 663-7190

    Fax: (920) 684-1439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $703.

Total Amount is formed as General ($703) + Research ($0) + Ownership ($0) = $703.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($207).

Total Amount

$703

General + Research + Ownership

Payments

32

Total payment records

General Amount

$703

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250304000724IDermatologyCOTBD
I20250811003458IDermatologyVTTBD

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
17003Destruction of precancer skin growth, 2-14 growths856149$0
99213Established patient office or other outpatient visit, 20-29 minutes379310$0
17000Destruction of precancer skin growth, 1 growth255200$0
17110Destruction of skin growth, 1-14 growths9383$0
99212Established patient office or other outpatient visit, 10-19 minutes8373$0
View full utilization report →

Insurance plans in this area (ZIP 05403)

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Provider's Procedures

DR. KATHY P COOK (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIA17003Destruction of 2-14 skin growths1458223

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: 3173939766View full group profile
NameSpecialtyState
D E R M A T O L O G YVT
Physician AssistantVT

Reviews

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Frequently asked questions

What number should I use to identify DR. KATHY P COOK (M.D.) for billing?
Administrative and clinical systems typically use NPI 1316034093 for DR. KATHY P COOK (M.D.).
Quick check: is DR. KATHY P COOK (M.D.) active?
Public NPPES data shows DR. KATHY P COOK (M.D.) with an active NPI status right now.
Which specialty label fits DR. KATHY P COOK (M.D.)?
NPPES ties DR. KATHY P COOK (M.D.) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. KATHY P COOK (M.D.) tied to South Burlington, Vermont?
If you are local to South Burlington, Vermont, DR. KATHY P COOK (M.D.) may be relevant to your search.
Who maintains DR. KATHY P COOK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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