PAUL A COOK MD
NPI 1568455004
Obstetrics & Gynecology in Marble Falls, TX
NPI Status: Active since August 30, 2005
Contact Information
800 W HIGHWAY 71
MARBLE FALLS, TX
ZIP 78654
Phone: (830) 201-7100
- Individual
- Male
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
About PAUL COOK
This page provides the complete NPI Profile along with additional information for Paul Cook, a women's health care provider established in Marble Falls, Texas with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1568455004 assigned on August 2005. The practitioner's primary taxonomy code is 207V00000X with license number H8915 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1568455004
- Provider Name
- PAUL A COOK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 W HIGHWAY 71 MARBLE FALLS, TX 78654
- Location Phone
- (830) 201-7100
- Mailing Address
- 3513 US HWY 281 N BLANCO, TX 78606
- Mailing Phone
- (918) 232-5784
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-30-2005
- Last Update Date
- 03-11-2014
- Code Navigator
Women's health care providers like Paul Cook treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H8915
- License State
- TX
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 24834 (OK) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 248626102 | MEDICARE PIN (08) | OK | |
| 200083710A | MEDICAID (05) | OK |
Medicare Participation & PECOS Enrollment Status
Paul Cook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78654 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 4 | 5 | 5 | 0 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 8 | 5 | 10 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 8 + 5 + 1 + 0 + 0 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1568455004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598720583 | DR. STEPHEN THORSHEIM HOUGEN M.D. Individual | Surgery | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1801262241 | BAYLOR SCOTT AND WHITE Organization | Clinic/Center (Physical Therapy) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7131 |
| 1669828851 | DR. CHRISTOPHER HERNANDEZ PHARMD Individual | Pharmacist | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (832) 859-4812 |
| 1932498391 | MELIA MARIE LUCERO Individual | Obstetrics & Gynecology | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1831481043 | DR. JACQUELINE ALCALA GUY M.D. Individual | Obstetrics & Gynecology | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1467823039 | JORDAN GRIFFING RD, LD, MS Individual | Dietitian, Registered | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1427524065 | ASHLEY VICTORIA WOOFF DPT Individual | Physical Therapist | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7141 |
| 1982713772 | DR. THOMAS F EASTMAN M.D. Individual | Orthopaedic Surgery | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1801182415 | MS. JENNIFER M BLISS M.D. Individual | Obstetrics & Gynecology | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1639507924 | LAURA BIBB FNP Individual | Nurse Practitioner (Family) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1467542282 | FRED MICHAEL MOORE PA-C Individual | Physician Assistant | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1740484336 | DR. PRASHANTH ADAPALA M.D. Individual | Internal Medicine (Hematology & Oncology) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (512) 901-4008 |
| 1063737526 | DR. GERALDO ALBERTO LIM Individual | Surgery | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1417290115 | DR. MAZEN NEZAR SHOBASSY MD Individual | Internal Medicine (Gastroenterology) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1881709970 | DR. SYED N HAQ MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1619960218 | DR. BAILEY PEYTON DELANEY M.D., P.A. Individual | Psychiatry & Neurology (Neurology) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1013156462 | DR. SRIKALA MEKA DEVABHAKTUNI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1326389438 | MR. GARY JAMES GOSTNELL PA-C Individual | Physician Assistant (Surgical) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
| 1467847129 | JUSTIN COYLE DO Individual | Internal Medicine (Cardiovascular Disease) | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (708) 216-5620 |
| 1700051521 | COURTNEY MICHELLE WINTERS AU.D., CCC-A Individual | Audiologist | 800 W HIGHWAY 71 MARBLE FALLS, TX 78654 (830) 201-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568455004, enumerated in the NPI registry as an "individual" on August 30, 2005
The provider is located at 800 W Highway 71 Marble Falls, Tx 78654 and the phone number is (830) 201-7100
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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