Medicare Enrolled

Dr. Robert Cook-Norris, MD

Dermatology · Shenandoah, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
8850 SIX PINES DR, Shenandoah, TX 77380
2813648844
In practice since 2007 (18 years)
NPI: 1164641171 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Cook-Norris from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Cook-Norris? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Cook-Norris

Dr. Robert Cook-Norris is a dermatology specialist in Shenandoah, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Cook-Norris performed 4,427 Medicare services across 3,197 unique beneficiaries.

Between the years covered by Open Payments, Dr. Cook-Norris received a total of $2,524 from 31 pharmaceutical and/or device companies across 119 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in dermatology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Cook-Norris is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ Top 27% volume in TX $2,524 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,427
Medicare services
Top 27% in TX for dermatology
3,197
Unique beneficiaries
$207
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~246 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 765 $371 $1,205
Destruction of precancerous skin growths, 2-14 390 $5 $49
Office visit, established patient (20-29 min) 339 $64 $110
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 316 $388 $1,109
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 311 $201 $800
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 307 $183 $635
Skin biopsy, tangential 267 $46 $200
Pathology examination of specimen during surgery, first tissue block 229 $81 $220
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 213 $326 $811
Office visit, established patient (30-39 min) 189 $98 $160
Destruction of precancerous skin growth, 1 127 $34 $100
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 125 $564 $1,750
Biopsy of related skin growth, each additional growth 105 $39 $105
New patient office or other outpatient visit, 15-29 minutes 97 $52 $115
Complicated repair of wound of trunk, 2.6-7.5 cm 82 $195 $590
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less 72 $103 $250
Pathology examination of specimen during surgery, each additional tissue block 67 $43 $180
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 57 $548 $1,450
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 34 $770 $2,250
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less 33 $136 $260
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 31 $769 $1,750
New patient office visit (30-44 min) 30 $81 $160
New patient office visit (45-59 min) 30 $134 $245
Biopsy of ear 29 $42 $170
Destruction of skin growths (warts/lesions), 1-14 24 $60 $165
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 22 $226 $1,100
Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks 21 $318 $751
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 18 $79 $300
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 18 $673 $1,800
Complicated repair of wound of trunk, each additional 5.0 cm or less 17 $95 $200
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 15 $70 $250
Creation of flap graft to eyelids, nose, ears, lips, or mouth 14 $601 $1,750
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm 11 $80 $290
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm 11 $128 $465
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 11 $634 $1,450
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
6.7% high complexity
9.1% medium
84.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,524
Total received (2018-2024)
Avg $361/year across 7 years
Bottom 43% in TX for dermatology
31
Companies
119
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,524 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$439
2023
$340
2022
$436
2021
$23
2020
$177
2019
$696
2018
$413

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Sun Pharmaceutical Industries Inc.
$349
Celgene Corporation
$276
GENZYME CORPORATION
$247
Janssen Biotech, Inc.
$231
Amgen Inc.
$187
ABBVIE INC.
$141
Novartis Pharmaceuticals Corporation
$141
AbbVie Inc.
$117
AbbVie, Inc.
$111
Almirall LLC
$97
ConvaTec Inc.
$67
Merck Sharp & Dohme Corporation
$67
Incyte Corporation
$55
LEO Pharma Inc.
$53
Regeneron Healthcare Solutions, Inc.
$53
Mayne Pharma Inc.
$39
Mission Pharmacal Company
$36
SUN PHARMACEUTICAL INDUSTRIES INC.
$26
Allergan Inc.
$23
Genentech USA, Inc.
$22
Urgo Medical North America, LLC
$22
Paratek Pharmaceuticals, Inc.
$21
Lilly USA, LLC
$21
Ortho Dermatologics, a division of Bausch Health US, LLC
$20
PFIZER INC.
$20
Arcutis Biotherapeutics, Inc.
$19
Melinta Therapeutics, Inc.
$17
Helsinn Therapeutics (U.S.), Inc.
$16
Galderma Laboratories, L.P.
$15
Novum Pharma, LLC
$14
MAYNE PHARMA COMMERCIAL LLC
$2
Top 3 companies account for 34.5% of total payments
Associated products mentioned in payments ›
ABSORICA (isotretinoin) · Alcortin A · BLU-U · BOTOX · BOTOX COSMETIC · BRYHALI · Baxdela · COSENTYX · DORYX · DRAWTEX HYDROCONDUCTIVE WOUND DRESSING WITH LEVAFIBER 4X4 · DUPIXENT · ENSTILAR · EUCRISA · Enbrel · Erivedge · Humira · ILUMYA · ILUMYA (tildrakizumab-asmn) injection · INNOVAMATRIX AC · Klisyri · NUZYRA · OPZELURA · Otezla · PICATO · REMICADE · RINVOQ · SIVEXTRO · SKYRIZI · Seysara · TALTZ · TREMFYA · Tremfya · VALCHLOR · Veltin · Zoryve
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $57 per 100 Medicare services performed
Looking for a dermatology specialist in Shenandoah?
Compare dermatologists in the Shenandoah area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Dermatologists within 10 mi
68
Per 100K population
10.4
County median income
$97,266
Nearest hospital
HOUSTON METHODIST THE WOODLANDS HOSPITAL
4.2 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Cook-Norris is a mixed practice specialist, with above-average Medicare volume (top 27% in TX), with low-engagement industry engagement, with 18 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Cook-Norris experienced with removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks?
Based on Medicare claims data, Dr. Cook-Norris performed 765 removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Cook-Norris receive payments from pharmaceutical companies?
Yes. Dr. Cook-Norris received a total of $2,524 from 31 companies across 119 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Cook-Norris's costs compare to other dermatologists in Shenandoah?
Dr. Cook-Norris's average Medicare payment per service is $207. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Cook-Norris) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →