Individual provider Active NPI

Dennis L. Cosgrove, O.D.

  • Optometrist
  • Cookeville, TN
National Provider Identifier
1669437901
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD1567 Issued in TN
Practice address
1059 Neal St
Cookeville, TN 38501-0906
Phone
(931) 528-1304
Fax
(931) 372-8958
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD1567 TN Primary

Addresses

Primary practice location

1059 Neal St
Cookeville, TN 38501-0906

Mailing address

720 Sutton PL
Cookeville, TN 38501-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000530 TN Practitioner - Optometry 1052582483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Woolfson MD PCGroup PAC ID 8426046665, 29 clinicians

Practice addresses (Care Compare)

2120 Northgate Park LN
Suite 102
Chattanooga, TN 37415-6937
Phone (866) 527-3722

Merit-based Incentive Payment System (MIPS)

Final score
82.57 of 100Reported as group
Quality
98.5
Improvement activities
40
Cost
43.89

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
99.14
Improvement activities
40
Cost
77.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD1567TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearer Vision, LLC PastSince Oct 6, 2014 Accepting new patients
Tennessee Retina PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1669437901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUTTON PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 NEAL ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010906",
            "telephone_number": "931-528-1304",
            "fax_number": "931-372-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "DENNIS",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.