Active NPI 1871556159 Individual Practitioner Male Practitioner

Todd Eric Cook , PA-C

Physician Assistant • Morganton, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Todd Cook, PA-C is a certified Physician Assistant practicing in Morganton, NC. With approximately 15 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2011, Todd Cook delivers high-quality medical care to the local community at 695 W FLEMING DR.

Todd Cook is affiliated with Blue Ridge Healthcare Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, manual urinalysis test with examination using microscope, automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

695 W Fleming Dr

Morganton, NC 28655

Telephone 8285803278

Fax 8285803279

Associated Practice Facility / Clinic

🏢 Blue Ridge Healthcare Medical Group Inc Facility NPI 1811244726

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Morganton, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +2.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

36 Specialists

Practicing in Morganton, NC (9374 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cook (15 Years) 15 Yrs

Morganton Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	108	$196.00	$72.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	44	$277.00	$102.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	12	$5.00	$0.94
81001 Manual urinalysis test with examination using microscope, automated	24	15	$10.00	$3.11
83036 Hemoglobin A1C level	23	12	$30.00	$9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	12	$67.00	$11.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	110	$196.00	$73.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$277.51	$102.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	19	$27.68	$7.61
81001 Manual urinalysis test with examination using microscope, automated	17	11	$10.35	$3.11
83036 Hemoglobin A1C level	16	12	$32.63	$9.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	108	$177.03	$73.92
99441 Telephone medical discussion with physician, 5-10 minutes	43	41	$133.00	$46.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$255.33	$106.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	25	$65.12	$19.06
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	15	15	$145.60	$30.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	97	$145.00	$76.37
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	15	15	$159.00	$63.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$227.00	$108.47
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$106.00	$46.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	84	$145.00	$62.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	17	$71.22	$11.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$227.00	$90.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	214	$123.00	$60.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	23	$24.00	$1.60
J1885 Injection, ketorolac tromethamine, per 15 mg	54	18	$11.00	$0.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	46	$69.00	$13.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$37.00	$16.22
81003 Automated urinalysis test	26	26	$9.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$187.00	$89.62
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$36.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	274	$119.00	$58.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	27	$23.00	$1.69
87804 Detection test by immunoassay with direct visual observation for influenza virus	60	30	$36.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	42	$71.00	$16.17
J1885 Injection, ketorolac tromethamine, per 15 mg	41	12	$11.00	$0.57
81001 Manual urinalysis test with examination using microscope, automated	26	24	$15.00	$3.69
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$35.00	$16.20
81003 Automated urinalysis test	17	17	$8.00	$2.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$204.00	$87.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	387	210	$119.00	$58.63
36415 Insertion of needle into vein for collection of blood sample	74	61	$11.00	$2.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$271.00	$92.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	13	$23.00	$1.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	24	$71.00	$20.50
81003 Automated urinalysis test	21	18	$8.00	$3.02
G0444 Annual depression screening, 5 to 15 minutes	19	19	$45.00	$14.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$182.00	$87.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$289.00	$133.87

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-02715

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1871556159 (NC)

Hospital & Practice Group Affiliations

Blue Ridge Healthcare Medical Group Inc

2293 Sugar Hill Rd, Marion, NC 287527787

Blue Ridge Healthcare Medical Group Inc

5920 Us Hwy 70 E, Nebo, NC 287619565

Phone: 8286599703

Secondary Practice Locations

730 Malcolm Blvd Ste 150

Connelly Springs, NC 286128079

Phone: 8288744600

2293 Sugar Hill Rd Ste D

Marion, NC 287527787

Phone: 8286528727

517 Main Ave W

Hildebran, NC 286378312

Phone: 8285805561

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Clifford Boyce , PA-C

Physician Assistant

NPI 1164436861

Physician Assistant (Certified)

Liel Erdedi , FNP

Nurse Practitioner - Family

NPI 1265297808

Family Nurse Practitioner

Annie Deal , FNP-C

Nurse Practitioner - Family

NPI 1467620906

Family Nurse Practitioner (Certified)

Taryn Fields , PA-C

Physician Assistant

NPI 1609395169

Physician Assistant (Certified)

Sandra Ruppe , MSN, BSN, RN

Nurse Practitioner - Family

NPI 1659153690

Master of Science in Nursing, Bachelor of Science in Nursing, Registered Nurse

Kevin West , NP

Nurse Practitioner - Family

NPI 1669012761

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 17, 2018

Registered at 695 W FLEMING DR, MORGANTON, NC 28655 (Tel: 8285803278)

📍

Updated Business Mailing Address May 17, 2018

Registered at 695 W FLEMING DR, MORGANTON, NC 286554450 (Tel: 8285803278)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2018

Physician Assistant (License #0010-02715 in NC)

✅

NPI Profile Active September 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2012

Registered at 1000 PERKINS RD SE, VALDESE, NC 286909749 (Tel: 8283268448)

📍

Updated Business Mailing Address September 06, 2012

Registered at 3086 MAIN AVE NW, HICKORY, NC 286015663 (Tel: 8283268448)

👤

Provider Name / Credentials Updated September 06, 2012

Recorded as TODD COOK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2012

Physician Assistant (License #0010-02715 in NC)

🟢

Initial NPI Registration & Enumeration April 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871556159

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 08, 2006

Last Update: May 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

695 W Fleming Dr

Morganton, NC 286554450

Phone: 8285803278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.