Medicare Enrolled
Dr. Robert Cook-Norris, MD
Dermatology · Shenandoah, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 →
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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 |
|---|---|---|---|
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
765 | $371 | $1,205 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
390 | $5 | $49 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
339 | $64 | $110 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
316 | $388 | $1,109 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
311 | $201 | $800 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
307 | $183 | $635 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
267 | $46 | $200 |
| Intraoperative pathology examination, first tissue block A pathologist examines a tissue sample removed during surgery to provide a preliminary diagnosis. This test is performed on the first tissue block obtained from the procedure. |
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) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
189 | $98 | $160 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
127 | $34 | $100 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
125 | $564 | $1,750 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
105 | $39 | $105 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
97 | $52 | $115 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
82 | $195 | $590 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for a complex surgical repair of a wound on the scalp, arms, or legs when the repair extends beyond the initial measurement. It is billed for each incremental 5-centimeter segment added to the primary procedure. |
72 | $103 | $250 |
| Additional surgical pathology tissue block This code covers the pathology examination of each additional tissue block processed during surgery. It is billed for each extra specimen block analyzed beyond the initial one. |
67 | $43 | $180 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
57 | $548 | $1,450 |
| Skin graft repair of eyelid, nose, ear, or lip, 10.1-30 sq cm This procedure involves repairing a wound on the eyelid, nose, ear, or lip by transferring skin from another area. The graft size covered is between 10.1 and 30.0 square centimeters. |
34 | $770 | $2,250 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for repairing a complex wound in specified body areas when the repair extends beyond the initial measurement. It applies to each incremental 5.0 cm or less added to the primary repair length. |
33 | $136 | $260 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
31 | $769 | $1,750 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
30 | $81 | $160 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
30 | $134 | $245 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
29 | $42 | $170 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
24 | $60 | $165 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
22 | $226 | $1,100 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
21 | $318 | $751 |
| Removal of noncancer skin growth, face/ears/eyelids/nose/lips/mouth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth from the face, ears, eyelids, nose, lips, or mouth. The growth removed measures between 1.1 and 2.0 centimeters in diameter. |
18 | $79 | $300 |
| Skin graft repair, 10.1-30 sq cm A surgical procedure to repair wounds on the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin. The graft covers an area between 10.1 and 30.0 square centimeters. |
18 | $673 | $1,800 |
| Complicated wound repair, trunk, each additional 5 cm or less This procedure involves a complex repair of a wound on the trunk, performed in addition to the primary repair. It covers each additional 5.0 cm or less of wound length. |
17 | $95 | $200 |
| Removal of noncancer skin growth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter. |
15 | $70 | $250 |
| Flap graft to eyelids, nose, ears, lips, or mouth A surgical procedure that moves a section of skin and tissue from one area to another to reconstruct or repair the eyelids, nose, ears, lips, or mouth. |
14 | $601 | $1,750 |
| Removal of noncancer skin growth, 2.1-3.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The excised tissue measures between 2.1 and 3.0 centimeters in diameter. |
11 | $80 | $290 |
| Surgical removal of skin cancer, 3.1-4.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue is between 3.1 and 4.0 centimeters. |
11 | $128 | $465 |
| Full thickness skin graft, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to an area on the face, neck, or other specified body parts. The graft covers an area of 20 square centimeters 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.
0.5% high complexity
9.1% medium
90.5% 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
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
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 clinical cardiology 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 skin growth removal and lab exam, 1-5 blocks?
Based on Medicare claims data, Dr. Cook-Norris performed 765 skin growth removal and lab exam, 1-5 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 →
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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.
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