CANDICE COOPER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1053869784

CANDICE COOPER (DPM) is a healthcare provider. based in Phoenix, Arizona. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 000971 (AZ). The NPI Number for CANDICE COOPER (DPM) is 1053869784

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CANDICE COOPER (DPM)
NPI
1053869784
Phone
(602) 993-2700
Address
3101 E SHEA BLVD STE 220
Enumeration Date
11 September 2016
Last Update Date
18 November 2021

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
7192665000
Graduation Year
2017 (9 years ago)
PAC ID
5799187308
Group Practice PAC ID
4486937653
Professional Enrollment ID
I20210706000478
Address ID
CO809207583CO8580XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

216 PODIATRY in IA

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Provider Addresses for CANDICE COOPER (DPM)

  • East Shea Boulevard, Orangetree Estates, Phoenix, Maricopa County, Arizona, 85253, United States

    PHOENIX, AZ 850283209

    Phone: (602) 993-2700

    Type: Mailing

  • Des Moines University, 3200, Grand Avenue, Grand Oaks Condominiums, Des Moines, Polk County, Iowa, 50312, United States

    DES MOINES, IA 503124104

    Phone: (515) 271-1489

    Type: Location

  • 8580 SCARBOROUGH DR STE 120

    COLORADO SPRINGS, CO 809207583

    Phone: (719) 266-5000

    Fax: (719) 266-6596

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Smith+Nephew, Inc. ($22).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210706000478IPodiatryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails367119$0
99213Established patient office or other outpatient visit, 20-29 minutes290165$0
73630X-ray of foot, minimum of 3 views199127$0
99203New patient office or other outpatient visit, 30-44 minutes171171$0
11055Removal of noncancer thickened skin growth, 1 growth7552$0
View full utilization report →

Insurance plans in this area (ZIP 85028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486937653View full group profile
NameSpecialtyState
P O D I A T R YCO

Reviews

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Frequently asked questions

What is the standard ID for CANDICE COOPER (DPM) in the U.S.?
In the U.S., CANDICE COOPER (DPM) is identified by NPI 1053869784.
Should I treat CANDICE COOPER (DPM) as an active provider?
Patients and plans typically see CANDICE COOPER (DPM) as active in the national extract.
Which specialty label fits CANDICE COOPER (DPM)?
NPPES ties CANDICE COOPER (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CANDICE COOPER (DPM)?
CANDICE COOPER (DPM) is associated with Phoenix, Arizona in the same public data insurers reference.
Who maintains CANDICE COOPER (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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