Individual provider Active NPI

Christopher O Cook, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montrose, CO
National Provider Identifier
1336193697
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000628 Issued in CO
Practice address
1825 E Main St Ste a
Montrose, CO 81401-3848
Phone
(970) 240-3338
Fax
(970) 240-1541
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000628 CO Primary

Addresses

Primary practice location

1825 E Main St Ste a
Montrose, CO 81401-3848

Mailing address

1825 E. Main Street
Suite a
Montrose, CO 81401-5689
Phone (970) 240-3338

Other practice location 1

233 Cottonwood St
Delta, CO 81416-4400
Phone (970) 240-3338

Other identifiers 2

IdentifierTypeStateIssuer
P00380493OtherCORRB
18138225MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061211000560 CO Practitioner - Podiatry 2062421001 Reassigns benefits to 1 organization
O20100930042869 CO DME Supplier - Physician - Podiatry 3971502329 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montrose, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Juan Foot and Ankle CenterGroup PAC ID 3971502329, 2 clinicians

Practice addresses (Care Compare)

1825 E Main St
Suite a
Montrose, CO 81401-3848

1825 E Main St a
Montrose, CO 81401-3848
Phone (970) 240-3338

233 Cottonwood St
Delta, CO 81416-4400
Phone (970) 240-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue122
Removal of skin lesions49
Removal of nail tissue91
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
282NMMDAcupuncturist
628COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Foot and Ankle Center Foot & Ankle Surgery CurrentSince Sep 11, 2006 Accepting new patients

Locations

233 Cottonwood St
Delta, CO 81416
Phone (970) 240-3338

1825 E Main St
Ste A
Montrose, CO 81401
Phone (970) 240-3338

Interoperability endpoints

  • Direct secure messaging: ctrcook@sjfaac-co.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1336193697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E. MAIN STREET",
            "address_2": "SUITE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015689",
            "telephone_number": "970-240-3338",
            "fax_number": "970-240-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E MAIN ST STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013848",
            "telephone_number": "970-240-3338",
            "fax_number": "970-240-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814164400",
            "country_code": "US",
            "telephone_number": "970-240-3338",
            "fax_number": "970-240-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHRISTOPHER",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "P00380493",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18138225",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.