ZIP code
02635
in Cotuit, MassachusettsPopulation 3,577
61.17/ 100
Ranked #4,025 of 32,066 US ZIPs (top 12.6%)
Ranked #243 of 527 Massachusetts ZIPs (top 46%)
Ranked #33 of 47 Barnstable Town, MA ZIPs (bottom 30%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Colon-cancer screening
79.1%
in the top 0.4% nationally
Higher is healthier
ST98thUS99thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›PFAS in drinking water
83.1%
in the top 1.3% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Mammography
84.6%
in the top 0.8% nationally
Higher is healthier
ST67thUS99thDefinition & source ›
The estimated share of women aged 50–74 who had a mammogram within the past two years.
Full methodology ›Obesity
26.3%
in the bottom 7.8% nationally
Lower is healthier
ST42ndUS8thDefinition & source ›
The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.
Full methodology ›Short sleep
29.5%
in the bottom 7.5% nationally
Lower is healthier
ST15thUS7thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Outer-floodplain exposure
4.4%
in the top 8.1% nationally
Lower is healthier
ST85thUS92ndDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Uninsured (under 65)
4.0%
in the bottom 2.4% nationally
Lower is healthier
ST58thUS2ndDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Binge drinking
13.7%
in the bottom 21% nationally
Lower is healthier
ST8thUS21stDefinition & source ›
The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.
Full methodology ›High cholesterol
41%
in the top 23% nationally
Lower is healthier
ST93rdUS77thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›The read
On balance, and by the composite measure, Cotuit, Massachusetts (ZIP 02635) ranks in the top 12.6% healthiest ZIPs nationally (4,025th) and the top 46% of Massachusetts (243rd).
The measures split the difference for this area: modeled colon screening sits in the top 0.4% nationally, and mammography rests in the top 0.8% nationally. Modeled obesity is in the bottom 7.8% nationally, and short sleep stands in the bottom 7.5% nationally. Modeled extreme heat settles at the national minimum, shared with about 19% of ZIPs. Modeled housing insecurity lies in the bottom 11.4% nationally, and food insecurity resides in the bottom 11.6% nationally. Against that, modeled pfas lands in the top 1.3% nationally, and outer-floodplain exposure registers in the top 8.1% nationally. Fiber broadband sits at the national minimum, shared with about 19% of ZIPs.
Compared with the ZIPs it borders, park land runs far lower than the surrounding ZIPs on this measure. In plainer terms, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Outer-floodplain exposure is land with a lower but real 1-in-500 chance of flooding each year, nicknamed the "500-year floodplain". Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. For a healthier nearby ZIP overall, look to ZIP 02648, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Barnstable Town, MA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Social Need / SDOH
healthier than 76%
16%
Environmental Hazard
healthier than 67%
14%
Preventive Care
in the top 0.3%
13%
Risk Behavior
healthier than 95%
11%
Mental Health
healthier than 76%
8%
Disability
healthier than 68%
7%
Healthcare Access
healthier than 64%
5%
About typical
Climate / Disaster Risk
healthier than 47%
5%
Holding it back
Chronic Disease Burden
healthier than 37%
21%
Lifting this score
Environmental Hazard
healthier than 85%
14%
Preventive Care
healthier than 95%
13%
Risk Behavior
healthier than 82%
11%
Mental Health
healthier than 78%
8%
About typical
Social Need / SDOH
healthier than 51%
16%
Healthcare Access
healthier than 45%
5%
Holding it back
Chronic Disease Burden
healthier than 9%
21%
Disability
healthier than 26%
7%
Climate / Disaster Risk
healthier than 30%
5%
Lifting this score
Climate / Disaster Risk
healthier than 60%
5%
About typical
Chronic Disease Burden
healthier than 40%
21%
Preventive Care
healthier than 57%
13%
Risk Behavior
healthier than 40%
11%
Mental Health
healthier than 46%
8%
Holding it back
Social Need / SDOH
healthier than 31%
16%
Environmental Hazard
healthier than 23%
14%
Disability
healthier than 23%
7%
Healthcare Access
healthier than 34%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
02648
Massachusettsshares a border
Score 62.25
Closest healthier
02649
Massachusettsshares a border
Score 61.59
Similar health profile
02666
Massachusetts98% similar profile
Score 63.05
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 36.7% | 33.0–40.2 |
| High blood pressure among adults | 38.9% | 34.8–42.7 |
| Cancer (non-skin) or melanoma among adults | 13.7% | 12.3–15.2 |
| Current asthma among adults | 11.8% | 10.3–13.2 |
| Coronary heart disease among adults | 8.4% | 7.1–9.9 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 6.1–10.0 |
| Depression among adults | 22.8% | 19.7–26.1 |
| Diagnosed diabetes among adults | 11.0% | 9.2–12.9 |
| High cholesterol among adults who have ever been screened | 41.0% | 37.1–45.2 |
| Obesity among adults | 26.3% | 21.4–31.4 |
| Stroke among adults | 4.0% | 3.3–4.8 |
| All teeth lost among adults aged >=65 years | 8.0% | 6.3–10.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 4.0% | 2.8–5.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 83.4% | 80.6–85.8 |
| Visits to doctor for routine checkup within the past year among adults | 85.4% | 82.8–87.8 |
| Cholesterol screening among adults | 93.1% | 91.7–94.3 |
| Colorectal cancer screening among adults aged 45–75 years | 79.1% | 75.1–82.7 |
| Visited dentist or dental clinic in the past year among adults | 75.9% | 72.9–78.7 |
| Mammography use among women aged 50-74 years | 84.6% | 78.9–89.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 13.7% | 11.4–16.3 |
| Current cigarette smoking among adults | 11.1% | 8.4–14.1 |
| No leisure-time physical activity among adults | 19.4% | 15.3–24.0 |
| Short sleep duration among adults | 29.5% | 24.7–34.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 16.5% | 13.2–20.5 |
| Frequent mental distress among adults | 13.9% | 11.8–15.9 |
| Frequent physical distress among adults | 14.1% | 11.8–16.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 11.8% | 9.8–14.3 |
| Any disability among adults | 29.3% | 24.6–34.3 |
| Hearing disability among adults | 8.6% | 7.3–10.0 |
| Independent living disability among adults | 7.2% | 5.8–8.9 |
| Mobility disability among adults | 14.5% | 11.5–17.9 |
| Self-care disability among adults | 3.4% | 2.7–4.3 |
| Vision disability among adults | 4.1% | 3.3–5.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 21.1% | 17.6–25.1 |
| Food insecurity in the past 12 months among adults | 8.8% | 6.3–11.9 |
| Received food stamps in the past 12 months among adults | 10.1% | 7.1–13.6 |
| Housing insecurity in the past 12 months among adults | 7.5% | 5.8–9.4 |
| Lack of reliable transportation in the past 12 months among adults | 5.5% | 4.4–6.8 |
| Loneliness among adults | 30.2% | 25.9–34.8 |
| Utility services shut-off threat in the past 12 months among adults | 5.0% | 4.0–6.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 4.3% | 10.6% (3.1–25.8%) n=32,364 | 6.4% (2.6–16.9%) n=524 |
| Uninsured 18–64 | 21.4% | 9.0% (1.5–24.3%) n=32,286 | 2.4% (0.0–6.3%) n=525 |
| No HS diploma (25+) | 8.9% | 7.9% (1.8–20.7%) n=32,505 | 4.7% (1.1–15.2%) n=526 |
| Bachelor's or higher (25+) | 50.3% | 23.3% (9.2–53.6%) n=32,505 | 45.7% (23.6–77.5%) n=526 |
| Unemployment rate (16+) | 3.3% | 3.9% (0.0–9.8%) n=32,274 | 4.4% (1.6–7.9%) n=523 |
| Households without a vehicle | 4.3% | 3.9% (0.0–12.5%) n=32,322 | 4.6% (0.4–20.2%) n=522 |
| Broadband subscription | 89.3% | 89.3% (75.1–97.1%) n=32,322 | 94.1% (87.2–98.4%) n=522 |
| Housing cost burden (≥30% income) | 25.1% | 23.7% (10.6–40.0%) n=32,322 | 30.5% (21.2–43.7%) n=522 |
| Homeownership rate | 88.3% | 78.7% (51.7–94.0%) n=32,322 | 79.1% (39.6–93.5%) n=522 |
| Crowded housing (>1 per room) | 1.3% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–3.8%) n=522 |
| Foreign-born population | 13.2% | 2.6% (0.0–18.6%) n=32,553 | 8.7% (1.9–28.4%) n=527 |
| Single-parent households | 75.8% | 53.6% (37.3–74.1%) n=32,087 | 52.5% (40.0–68.7%) n=520 |
| Population 65+ | 35.6% | 19.4% (10.8–33.6%) n=32,553 | 19.4% (12.1–33.8%) n=527 |
| Median age | 56.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.5 yr (34.3–57.2) n=524 |
| Median household income | $110,197 | $72,070 ($46,039–$118,707) n=30,318 | $110,450 ($68,196–$177,335) n=505 |
| Median home value | $683,600 | $222,200 ($100,300–$579,820) n=30,049 | $519,200 ($297,220–$949,670) n=508 |
| Median gross rent | $2,282 | $1,021 ($677–$1,912) n=25,670 | $1,659 ($1,104–$2,452) n=461 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 83.4 yr ± 1.72 | 78.9 yr (74.7–82.8) n=31,308 | 81.3 yr (78.1–84.4) n=514 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 1.72 years of 83.4, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured