2026 NPPES data Advanced Practice Midwife NPI 1821034703 CNM
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FRANCES COOKE, CNM

Advanced Practice Midwife in AHOSKIE, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
233
Medicare Part D claims · 76 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.333/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$37.65
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: FRANCES COOKE, CNM is a Advanced Practice Midwife ([object Object]) practicing in AHOSKIE, North Carolina with a Medicare Part D prescribing footprint of 233 claims across 76 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 98.333/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $37.65 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: FRANCES COOKE, CNM reported a CMS MIPS final score of 98.333 out of 100, above the 83.1 national average, and filed 233 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

FRANCES COOKE, CNM at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/21/2006

NPI 1821034703

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

233 135% vs specialty avg

2023 prescription claims

Specialty avg: 99

MIPS final score

98.333/100 15.233000000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Advanced Practice Midwife compares to other specialties among North Carolina providers

North Carolina providers

Advanced Practice Midwife share within North Carolina

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within North Carolina

Medicare quality performance — MIPS

FRANCES COOKE, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

High performer (top quartile)
MIPS Final Score
98.333/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Practice Midwife) — 98.333/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Advanced Practice Midwife) — 98.333/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

FRANCES COOKE, CNM is a Advanced Practice Midwife provider practicing in AHOSKIE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNM. NPI: 1821034703. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

FRANCES COOKE, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding CNM credentials at 700 ACADEMY ST S, AHOSKIE, NC, 27910, with a listed phone of (252) 209-3614. NPI 1821034703 was issued on 06/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COOKE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 233 prescription claims written by this provider, covering 76 Medicare beneficiaries and totaling roughly $14K in drug spend, split 15% brand-name and 85% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.333/100 for the 2023 performance year (Quality 82.9398), compared with the national average of 83.1.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

700 ACADEMY ST S
AHOSKIE, NC 27910

Provider Details

NPI 1821034703
Specialty Advanced Practice Midwife
Credentials CNM
Gender Female
NPI Issued 06/21/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.333
Final Score
Avg: 83.1
82.9398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where FRANCES COOKE, CNM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VIDANT MEDICAL GROUP LLC
AHOSKIE, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for FRANCES COOKE, CNM. Source: openpaymentsdata.cms.gov.

Total received

$38

Largest payer

Organon Llc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

FRANCES COOKE, CNM — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 233 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

233
Total Claims
$14K
Total Drug Cost
76
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
336
Total Day Supply
8,090
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$9K
Generic Drug Cost
$5K
Antibiotic Claims
24

Patient Demographics

Average Patient Age
57.1 years
Avg HCC Risk Score
1.12
Gender Split
100% female / 0% male
Age Distribution
<65: 40, 65-74: 24, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Fluconazole
36
Estradiol
31
Medroxyprogesterone Acetate
22
Norethindrone
22
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
13
Clobetasol Propionate
11
Metronidazole
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Advanced Practice Midwife Overview

How FRANCES COOKE, CNM fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

FRANCES COOKE, CNM's 233 claims are above the specialty average of 99.

Nearby Advanced Practice Midwife Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as COOKE.

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is FRANCES COOKE, CNM's specialty?
FRANCES COOKE, CNM specializes in Advanced Practice Midwife and practices in AHOSKIE, North Carolina. Credentials: CNM.
How much does FRANCES COOKE, CNM prescribe under Medicare Part D?
In 2023, FRANCES COOKE, CNM wrote 233 Medicare Part D claims totaling $14K in drug costs for 76 beneficiaries.
What is FRANCES COOKE, CNM's Medicare quality score?
FRANCES COOKE, CNM has a CMS MIPS Final Score of 98.333/100 (Quality: 82.9398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FRANCES COOKE, CNM located?
FRANCES COOKE, CNM is located at 700 ACADEMY ST S, AHOSKIE, NC, 27910. Phone: (252) 209-3614.
What is FRANCES COOKE, CNM's NPI number?
FRANCES COOKE, CNM's National Provider Identifier (NPI) is 1821034703, issued on 06/21/2006.
Does FRANCES COOKE, CNM prescribe more brand-name or generic drugs?
FRANCES COOKE, CNM's prescribing is 15% brand-name and 85% generic drugs by claim count, with $9K in brand drug costs.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does FRANCES COOKE, CNM prescribe most often?
Based on 2023 Medicare Part D data, FRANCES COOKE, CNM's most frequently prescribed drugs include Fluconazole, Estradiol, Medroxyprogesterone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANCES COOKE, CNM accept Medicare?
FRANCES COOKE, CNM appears in CMS Medicare data with 233 Part D claims and 76 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANCES COOKE, CNM's credentials?
FRANCES COOKE, CNM's NPI is 1821034703 with credentials CNM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology