Individual provider Active NPI

Joe T McCook, MD

  • Family Medicine Physician
  • La Pine, OR
National Provider Identifier
1154344869
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD26830 Issued in OR
Practice address
51600 Huntington Rd
La Pine, OR 97739
Phone
(541) 536-3435
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Also: Emergency Medicine
Education
Eastern Virginia Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System Inc (379 clinicians)
La Pine Community Health Center (13 clinicians)

Practice addresses (Care Compare)

211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164

51600 Huntington Rd
La Pine, OR 97739-9626

51600 S Huntington Dr
Lapine, OR 97739-9626
Phone (541) 536-3435

51781 Huntington Rd
La Pine, OR 97739-1118
Phone (541) 666-7920

61250 SE Coombs PL
Family Care Clin
Bend, OR 97702-3704
Phone (541) 706-5935

Hospital & facility affiliations

  • Partners Home Health Home health agency · Bend, OR · CCN 387067
  • Home Health of Northwest, LLC Home health agency · Bend, OR · CCN 387316
  • St Charles Medical Center - Bend Hospital · Bend, OR · CCN 380047
  • St Charles Medical Center Prineville Hospital · Prineville, OR · CCN 381313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070227000330 OR Practitioner - Family Practice
Practitioner - Emergency Medicine
3072518422 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. Current
since Dec 1, 2010
Accepting new patients
La Pine Community Health Center Current
since Aug 15, 2023
Accepting new patients
St. Charles Health System, Inc. Family Medicine Current
since Dec 1, 2010
Accepting new patients
La Pine Community Health Center Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

51600 Huntington Rd
Ste 101
La Pine, OR 97739
Phone (541) 536-3435

51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

Interoperability endpoints

  • Direct secure messaging: jmccook655244@direct.ochin.org
  • FHIR API: https://webprd.ochin.org/prd-fhir/mychartlpchc/api/FHIR/R4
  • Direct secure messaging: jmccook17708@secure.stcharleshealthcare.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD26830 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

51600 Huntington Rd
La Pine, OR 97739

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435

Other practice location 1

61250 SE Coombs Pl
Bend, OR 97702-3704
Phone (541) 706-5930

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
11809932OtherORCAQH ID
240135MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2024.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1154344869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61250 SE Coombs Pl",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023704",
            "country_code": "US",
            "telephone_number": "541-706-5930",
            "fax_number": "541-706-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOK",
        "first_name": "JOE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11809932",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240135",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

Verify at the official NPI Registry.