KEITH COOPER (MD) – Family Medicine Physician, NPI 1295732816

KEITH COOPER (MD) is a healthcare provider. based in Conway, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E0922 (AR). The NPI Number for KEITH COOPER (MD) is 1295732816

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KEITH COOPER (MD)
NPI
1295732816
Phone
(501) 852-1363
Address
PO BOX 9662
Enumeration Date
29 June 2005
Last Update Date
13 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5013271325
Graduation Year
1995 (31 years ago)
PAC ID
1658405212
Group Practice PAC ID
3173428414
Professional Enrollment ID
I20100818000119
Address ID
AR720346127CO437XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for KEITH COOPER (MD)

  • PO BOX 9662

    CONWAY, AR 720339662

    Phone: (501) 852-1363

    Fax: (501) 852-1364

    Type: Mailing

  • 437 DENISON ST

    CONWAY, AR 720346127

    Phone: (501) 327-1325

    Fax: (501) 327-1328

    Type: Location

  • South University Avenue, Geyer Springs, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722047841

    Phone: (501) 562-4838

    Fax: (501) 562-1958

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $380.

Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Medline Industries LP ($99).

Total Amount

$380

General + Research + Ownership

Payments

17

Total payment records

General Amount

$380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2010-08-18

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
I20100818000119IFamily PracticeARTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes130102$0
99214Established patient office or other outpatient visit, 30-39 minutes12995$0
36415Insertion of needle into vein for collection of blood sample10081$0
83036Hemoglobin a1c level4936$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
View full utilization report →

Insurance plans in this area (ZIP 72033)

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Provider's Procedures

KEITH COOPER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR83036Hemoglobin A1C level10245
FAMILY MEDICINEAR90670Pneumococcal vaccine for injection into muscle3737

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: 3173428414View full group profile
NameSpecialtyState
Nurse PractitionerAR
General SurgeryAR
-AR
Nurse PractitionerAR
Orthopedic SurgeryAR
Hand Surgery, Orthopedic SurgeryAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
Orthopedic SurgeryAR

Reviews

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Frequently asked questions

What is the registry number for KEITH COOPER (MD)?
The registry entry for KEITH COOPER (MD) shows NPI 1295732816.
Quick check: is KEITH COOPER (MD) active?
Public NPPES data shows KEITH COOPER (MD) with an active NPI status right now.
What type of care does KEITH COOPER (MD) provide?
KEITH COOPER (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KEITH COOPER (MD) in Conway, Arkansas?
For routing, start with Conway, Arkansas for KEITH COOPER (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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