Active NPI
Martin Earl Cook, DO
- Internal Medicine Physician
- Palmer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 212767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2480 S Woodworth Loop
Suite 150
Palmer, AK 99645-7408
Phone (907) 861-6312
Hospital & facility affiliations
- Ancora Home Health & Hospice
- Mat-Su Regional Medical Center
- Providence Alaska Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 486 |
| Removal of skin lesions | 47 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Valley Medical Center LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1912950148
Internal Medicine
-
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wasilla, AK
- NPI 1801380043
-
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.