Individual provider Active NPI

Martin Earl Cook, DO

  • Internal Medicine Physician
  • Palmer, AK
National Provider Identifier
1477176543
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212767 Issued in AK
Practice address
2480 S Woodworth Loop Ste 150
Palmer, AK 99645-7408
Phone
(907) 861-6312
Fax
(907) 861-6322
NPI assigned
May 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212767 AK Primary

Addresses

Primary practice location

2480 S Woodworth Loop Ste 150
Palmer, AK 99645-7408

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121002554 AK Practitioner - Internal Medicine 0749605970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat Su Valley Medical Center LLCGroup PAC ID 5698686475, 23 clinicians

Practice addresses (Care Compare)

2480 S Woodworth Loop
Suite 150
Palmer, AK 99645-7408
Phone (907) 861-6312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue486
Removal of skin lesions47
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Valley Medical Center LLC CurrentSince Sep 26, 2023 Accepting new patients
Mat Su Valley Medical Center LLC Internal Medicine Current Accepting new patients

Locations

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

2480 S Woodworth Loop
Ste 150
Palmer, AK 99645
Phone (907) 352-2810

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

Organizations & group practices 2

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 3

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": "1590278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1477176543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S WOODWORTH LOOP STE 150",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457408",
            "telephone_number": "907-861-6312",
            "fax_number": "907-861-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 S Woodworth Loop",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996458984",
            "country_code": "US",
            "telephone_number": "907-861-6565",
            "fax_number": "907-861-6568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARTIN",
        "middle_name": "EARL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-24",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "212767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.