JORDAN C COOK (DO) – Dermatology Physician, NPI 1588041719

JORDAN C COOK (DO) is a healthcare provider. based in Blacksburg, Virginia. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. DO221863 (OR). The NPI Number for JORDAN C COOK (DO) is 1588041719

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN C COOK (DO)
NPI
1588041719
Phone
(540) 953-3528
Address
3700 S MAIN ST
Enumeration Date
27 April 2015
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416002017
Graduation Year
2016 (10 years ago)
PAC ID
4284920737
Group Practice PAC ID
0244618148
Professional Enrollment ID
I20241007002762
Address ID
OR974771305SP21XXXWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

56 DERMATOLOGY in MT

Provider Addresses for JORDAN C COOK (DO)

  • 3700 S MAIN ST

    BLACKSBURG, VA 240607017

    Phone: (540) 953-3528

    Fax: (540) 953-5453

    Type: Mailing

  • 40 FOUR MILE DR STE 7

    KALISPELL, MT 599012655

    Phone: (406) 314-4788

    Fax: (406) 890-6708

    Type: Location

  • 21 HAYDEN BRIDGE WAY

    SPRINGFIELD, OR 974771305

    Phone: (541) 600-2017

    Fax: (541) 225-4864

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,168.

Total Amount is formed as General ($1,168) + Research ($0) + Ownership ($0) = $1,168.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Janssen Biotech, Inc. ($356).

Total Amount

$1,168

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2024-10-07

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
I20200729001030IDermatologyMTTBD
I20241007002762IDermatologyORTBD

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 growths1,330261$0
99213Established patient office or other outpatient visit, 20-29 minutes847657$0
17000Destruction of precancer skin growth, 1 growth434347$0
17110Destruction of skin growth, 1-14 growths374300$0
11102Biopsy of related skin growth, first growth185173$0
View full utilization report →

Insurance plans in this area (ZIP 24060)

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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: 0244618148View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
D E R M A T O L O G YOR

Reviews

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Frequently asked questions

Is JORDAN C COOK (DO) listed with a National Provider Identifier?
Yes — JORDAN C COOK (DO) has NPI 1588041719 on file in the registry.
Is JORDAN C COOK (DO) shown as active in public data?
Registry records indicate JORDAN C COOK (DO) maintains an active NPI.
What area of care is associated with JORDAN C COOK (DO)?
JORDAN C COOK (DO)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is JORDAN C COOK (DO) associated with Blacksburg?
Public fields place JORDAN C COOK (DO) around Blacksburg, Virginia. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.