2026 NPPES data Emergency Medicine Physician NPI 1912355082 DO
Verify on CMS →

Nathan Cook, DO

Emergency Medicine Physician in Casper, Wyoming.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
138
Medicare Part D claims · 105 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Nathan Cook, DO reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 138 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
138
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Nathan Cook, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Nathan Cook, DO sits

This provider among emergency medicine physician peers

Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nathan Cook, DO writes more Part D claims than 45% of them and scores higher on MIPS quality than 9% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 88Nathan Cook, DO-Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Nathan Cook, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Nathan Cook, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Nathan Cook, DO?

Below national average

NPI registry status

Active

Issued 05/31/2016

NPI 1912355082

Primary specialty

Emergency Medicine Physician

High-volume

64,463 US NPIs in this specialty

Medicare Part D claims

138 61% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Wyoming

How Emergency Medicine Physician compares to other specialties among Wyoming providers

Wyoming providers
Community Health Worker - 10.7%Community Health Worker10.7%Case Manager/Care Coordinator - 10.4%Case Manager/Care Coordinator10.4%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Physical Therapist - 5%Physical Therapist5%Pharmacist - 4.7%Pharmacist4.7%Professional Counselor - 3.5%Professional Counselor3.5%Emergency Medicine Physician - 0.8%Emergency Medicine Physician0.8%
Largest specialties in Wyoming (% of in-state providers)

Medicare quality performance, MIPS

Nathan Cook, DO's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Emergency Medicine Physician) - 75/100 vs national avg 83.1
How MIPS and board certification work

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).

Nathan Cook, DO appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding DO credentials at 1233 E 2ND ST, Casper, WY, 82601, with a listed phone of (307) 577-7201. NPI 1912355082 was issued on 05/31/2016.

Medicare Part D records for calendar year 2023 show 138 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $7K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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

1233 E 2ND ST
Casper, WY 82601

Provider Details

NPI 1912355082
Specialty Emergency Medicine Physician
Credentials DO
Gender Male
NPI Issued 05/31/2016

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where Nathan Cook, DO 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.

Emergency Medical Physicians PC
Casper, WY

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

Medicare Part D Prescribing Data

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

138
Total Claims
$7K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
138
Total Day Supply
1,024
Generic Drug Cost
$1K
Antibiotic Claims
51

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.57
Gender Split
54% female / 46% male
Age Distribution
<65: 26, 65-74: 38, 75-84: 28, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
20
Cefuroxime
Cefuroxime Axetil
14

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

Emergency Medicine Physician Overview

How Nathan Cook, DO fits within the Emergency Medicine Physician landscape nationally.

64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

Nathan Cook, DO's 138 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Wyoming

Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Cook.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Wyoming medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Nathan Cook, DO's specialty?
Nathan Cook, DO specializes in Emergency Medicine Physician and practices in Casper, Wyoming. Credentials: DO.
How much does Nathan Cook, DO prescribe under Medicare Part D?
In 2023, Nathan Cook, DO wrote 138 Medicare Part D claims totaling $7K in drug costs for 105 beneficiaries.
What is Nathan Cook, DO's Medicare quality score?
Nathan Cook, DO has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nathan Cook, DO located?
Nathan Cook, DO is located at 1233 E 2ND ST, Casper, WY, 82601. Phone: (307) 577-7201.
What is Nathan Cook, DO's NPI number?
Nathan Cook, DO's National Provider Identifier (NPI) is 1912355082, issued on 05/31/2016.
How many Emergency Medicine Physician providers are there in the US?
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Nathan Cook, DO prescribe most often?
Based on 2023 Medicare Part D data, Nathan Cook, DO's most frequently prescribed drugs include Prednisone, Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nathan Cook, DO accept Medicare?
Nathan Cook, DO appears in CMS Medicare data with 138 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nathan Cook, DO's credentials?
Nathan Cook, DO's NPI is 1912355082 with credentials DO. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.