0 Designated · below priority line

TX · Healthcare shortage profile

Cooke County, TX

Peak severity leads this reading: Cooke County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Population 41,668.

Active HPSAs
6
Population
41,668
Peak shortage score
16.0
MUA Index
-
TX state overview → About this data

Mid-burden verdict

According to current HRSA Data Warehouse records, Cooke County holds a moderate federal shortage burden - 6 active HPSA designations, more than 54% of the 3,289 real US counties, with primary care the deepest gap.

6
Active HPSA designations
2
Primary-care shortages
16
Peak severity score (of 26)
Top 46%
US counties by volume

Dense ZCTA lattice over Cooke County

Cooke County intersects 16 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.

Largest land-share ZCTAs in this county

4 additional ZCTAs intersect this county in the crosswalk (ordered by land share).

Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.

Key findings

What the HRSA Data Warehouse does not surface for Cooke County, TX on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.

  1. Closing Cooke County's active designations would take about 9 additional clinician FTEs, with primary care the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.8 primary care, 2.1 mental health, 3.2 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  2. 33.3% of Cooke County's 6 active designations are primary care.

    Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 2 dental (denominator 6).

  3. Peak HPSA score 16.0 sits below HRSA's 17-point high-priority line.

    Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.

Corpus placement

Designated volume without a high-priority score

According to current HRSA Data Warehouse records, Cooke County carries 6 active designations, above 54% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.

State peer position. Cooke County falls in the upper quarter of TX counties by active-designation volume, at rank 26 of 254. Ties share a rank.

Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.

Healthcare shortage designations from HRSA. FIPS: 48097. Population: 41,668.

Below high-priority line

Cooke County is designated, but no active score clears 17

6 active designations sit on this FIPS (2 primary care, 2 mental health, 2 dental), and the peak severity is 16.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.

Active HPSA scores

Primary Care 16.0
Mental Health 15.0
Dental 15.0

Current designated records only. No Medically Underserved Area designation covers Cooke County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?

Highest-severity HPSA designations

All 6 active (designated) HPSAs in Cooke County, ranked by HRSA shortage score.

Name Type Score
Ntmc Health Complete Care primary_care 16.0
LI - Cooke County primary_care 15.0
Ntmc Health Complete Care mental_health 15.0
Ntmc Health Complete Care dental 15.0
LI - Cooke County dental 15.0
Cooke County mental_health 13.0

Moderate-burden reading for Cooke County

Peak severity leads this reading: Cooke County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Primary care is where Cooke County is stretched thinnest: HRSA scores it 16.0 of 25, the county's highest severity reading and still short of the 17-point priority line, though the designation itself is formal. Mental health reads 15.0 of 25; Dental care reads 15.0 of 26. No Medically Underserved Area designation covers Cooke County, so federal support here runs through the HPSA route alone.

Cooke County sits in the middle of the national designation-volume distribution (above 54% of counties) with 6 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/2) before assuming every care category is equally short.

Cooke County falls in the upper quarter of TX counties by active-designation volume, at rank 26 of 254. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.

Mid-pack clinician FTE gap for Cooke County

HRSA providers_needed summed once per HPSA id for Cooke County's active designations: about 9 FTE, a federal gap estimate, not a headcount of practising clinicians.

Counties near Cooke County's primary score of 16.0

One peer set for this severity-led county: nearest active primary HPSA score to 16.0 (severity lead on this page is “NTMC HEALTH COMPLETE CARE”).

Cumberland County, ME

16.0 primary score · 303,069 pop.

Deschutes County, OR

16.0 primary score · 198,253 pop.

Charles County, MD

16.0 primary score · 166,617 pop.

Oswego County, NY

16.0 primary score · 117,525 pop.

Highlands County, FL

16.0 primary score · 101,235 pop.

Santa Clara County, CA

16.0 primary score · 1,936,259 pop.

Frequently Asked Questions

Which record sets Cooke County's peak score of 16.0?
"NTMC HEALTH COMPLETE CARE" leads the active set (score 16.0; primary care; 48,575 people in the service area; designated 11/24/2025). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 6 active rows: 2 primary care, 2 mental health, 2 dental.
Why is Cooke County not listed as a Medically Underserved Area?
Cooke County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
Which other active designations sit under Cooke County's severity reading?
After "NTMC HEALTH COMPLETE CARE", the next active names on this release are "NTMC HEALTH COMPLETE CARE", "LI - Cooke County", "NTMC HEALTH COMPLETE CARE" and "NTMC HEALTH COMPLETE CARE". Provider need (id-de-duped) totals ~9 FTE across disciplines that still carry a gap.
Which federal pathways follow Cooke County's high-severity geography?
Cooke County's 6 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "NTMC HEALTH COMPLETE CARE".

Source: HRSA Data Warehouse. FIPS: 48097. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.

HRSA Data Warehouse HPSA + MUA/P records for FIPS 48097 (Cooke County, TX), vintage 2026-08-15. Active designation count 6; peak score 16.0; signature peak score 16.0. This profile is reference material, not professional advice; see methodology.