Individual provider Active NPI

Shannon Eugene Cooke, M.D.

  • Orthopaedic Surgery Physician
  • Abilene, TX
National Provider Identifier
1811923063
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H7972 Issued in TX
Practice address
1633 Cottonwood St
Abilene, TX 79601
Phone
(325) 672-4372
Fax
(325) 673-0856
NPI assigned
Jun 22, 2006
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H7972 TX Primary

Addresses

Primary practice location

1633 Cottonwood St
Abilene, TX 79601

Mailing address

1633 Cottonwood St
Abilene, TX 79601-3033
Phone (325) 672-4372

Other identifiers 2

IdentifierTypeStateIssuer
029703802MedicaidTX
8S1530OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040726000317 TX Practitioner - Orthopedic Surgery 1052391513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1633 Cottonwood St
Abilene, TX 79601-3033
Phone (325) 672-4372

1900 Pine St
Abilene, TX 79601-2432

1904 Pine St
Abilene, TX 79601-2450

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

5302 Buffalo Gap Rd
Suite 101
Abilene, TX 79606-4248
Phone (325) 793-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)31
Upper limb (arm) arthroscopy (minimally invasive joint repair)40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7972TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Action Sports Medicine and Physical Therapy Current Accepting new patients
Hendrick Provider Network CurrentSince Jan 1, 2023 Accepting new patients
Hendrick Provider Network CurrentSince Jan 1, 2023 Accepting new patients
Abilene Bone & Joint Clinic Orthopaedic Surgery CurrentSince Jan 15, 2004 Accepting new patients
Hendrick Medical Center Past Accepting new patients

Locations

1633 Cottonwood St
Abilene, TX 79601
Phone (325) 672-4372

1749 Pine St
Abilene, TX 79601
Phone (325) 672-4372

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

Interoperability endpoints

  • Direct secure messaging: shannon.cooke.1@21794.direct.athenahealth.com
  • Direct secure messaging: shannon.cooke.p1@direct.abileneboneandjoint.nextgenshare.com
  • Direct secure messaging: shannon.cooke.p3@direct.abileneboneandjoint.nextgenshare.com

Organizations & group practices 6

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

Hospital & facility affiliations 6

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1811923063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 COTTONWOOD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013033",
            "telephone_number": "325-672-4372",
            "fax_number": "325-673-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 COTTONWOOD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "telephone_number": "325-672-4372",
            "fax_number": "325-673-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "SHANNON",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H7972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029703802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S1530",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.