NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1669582102 MD
Verify on CMS → Theodore Cook, MD
Emergency Medicine Physician in Newton, Kansas.
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
187
Medicare Part D claims · 146 beneficiaries · Emergency Medicine Physician avg: 352
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theodore Cook, MD filed 187 Medicare Part D claims in 2023 as a Emergency Medicine Physician in Newton, Kansas.
- 187
- 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.
Theodore Cook, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
187 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Theodore Cook, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - 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 Theodore Cook, MD?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
187 47% vs specialty avg
Specialty distribution in Kansas
How Emergency Medicine Physician compares to other specialties among Kansas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Medicine Physician. Verify directly:
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).
Theodore Cook, MD appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding MD credentials at 301 N MAIN ST, Newton, KS, 67114, with a listed phone of (316) 282-9614. NPI 1669582102 was issued on 08/30/2006.
Medicare Part D records for calendar year 2023 show 187 prescription claims written by this provider, covering 146 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 27.3%.
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
Provider Details
| NPI | 1669582102 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/30/2006 |
Hospital and facility affiliations
Facilities where Theodore Cook, MD 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.
According to CMS billing records, Theodore Cook, MD is affiliated with 3 Medicare-billing facilities across 2 states, 2 of which carry a CMS Hospital overall star rating.
Bothwell Regional Health Center
★★★★☆ 4/5
Sedalia, MO
Acute Care Hospitals
CMS CCN: 260009
Western Missouri Medical Center
★★★★☆ 4/5
Warrensburg, MO
Acute Care Hospitals
CMS CCN: 260097
Miami County Medical Center Inc
Paola, KS
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.
187
Total Claims
$3K
Total Drug Cost
146
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 187
- Total Day Supply
- 1,357
- Generic Drug Cost
- $2K
- Opioid Claims
- 51 (27.3% rate)
- Antibiotic Claims
- 73
Patient Demographics
- Average Patient Age
- 68.8 years
- Avg HCC Risk Score
- 1.76
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 44, 65-74: 37, 75-84: 48, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theodore Cook, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
31 claims
- Tramadol Hcl
Tramadol Hcl
19 claims
- Cefdinir
Cefdinir
13 claims
- Nitrofurantoin Mon… 11
Nitrofurantoin Mono-Macro
11 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 31 |
| Tramadol Hcl | 19 |
| Cefdinir | 13 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 11 |
* 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 Theodore Cook, MD 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
Theodore Cook, MD's 187 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Kansas
Other clinicians with the same primary specialty enrolled in Kansas, drawn from the same CMS NPPES roster as Cook.
Dr. Richard Aballay
MD
Kinsley, KS
Keisuke Abe
Wichita, KS
Dr. Joshua Abernathy
MD
Olathe, KS
Dr. Shyam Akkulugari
MD., MPH
Overland Park, KS
Dr. Ekaterina Alberts
MD
Topeka, KS
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 Kansas 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
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Explore Kansas
Frequently Asked Questions
What is Theodore Cook, MD's specialty? ▼
Theodore Cook, MD specializes in Emergency Medicine Physician and practices in Newton, Kansas. Credentials: MD.
How much does Theodore Cook, MD prescribe under Medicare Part D? ▼
In 2023, Theodore Cook, MD wrote 187 Medicare Part D claims totaling $3K in drug costs for 146 beneficiaries.
Where is Theodore Cook, MD located? ▼
Theodore Cook, MD is located at 301 N MAIN ST, Newton, KS, 67114. Phone: (316) 282-9614.
What is Theodore Cook, MD's NPI number? ▼
Theodore Cook, MD's National Provider Identifier (NPI) is 1669582102, issued on 08/30/2006.
Does Theodore Cook, MD prescribe opioids? ▼
Yes, Theodore Cook, MD had 51 opioid claims in 2023 with an opioid prescribing rate of 27.3%.
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 Theodore Cook, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Theodore Cook, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theodore Cook, MD accept Medicare? ▼
Theodore Cook, MD appears in CMS Medicare data with 187 Part D claims and 146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodore Cook, MD's credentials? ▼
Theodore Cook, MD's NPI is 1669582102 with credentials MD. 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.
- 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.