CAROLYN JEAN COOKE (MD) – Family Medicine Physician, NPI 1609817378
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CAROLYN JEAN COOKE (MD)
3857 RELIABLE PKWY
CHICAGO, IL 606860001
Phone: (812) 949-5482
Fax: (812) 949-5966
Type: Mailing
5130 Charlestown Rd
Suite 2
New Albany, IN 471509483
Phone: (812) 949-1577
Type: Location
314 S Ferguson St
Henryville, IN 47126
Phone: (812) 794-8100
Fax: (812) 794-8200
Type: Location
203 E MAIN ST
RICHMOND, IN 473744208
Phone: (659) 739-2947
Fax: (765) 973-9233
Type: Mailing
25 W MAIN ST
AUSTIN, IN 47102
Phone: (812) 794-8100
Fax: (812) 794-8200
Type: Location
Charlestown Road, Blackiston Mill, New Albany, Floyd County, Indiana, 47150, United States
SUITE 2
NEW ALBANY, IN 471509483
Phone: (812) 949-1577
Type: Location
2200 W MAIN ST
RICHMOND, IN 473743882
Phone: (659) 739-2947
Fax: (765) 973-9233
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2023-03-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $121 |
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: 2010-03-26
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 |
|---|---|---|---|---|
| I20100326000199 | I | Family Practice | IN | 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 60686)
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Reviews
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