DR. RANDY WILSON COOPER (M.D.) – Surgery Physician, NPI 1083612352
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for DR. RANDY WILSON COOPER (M.D.)
818 Saint Sebastian Way
Suite 408
Augusta, GA 309012651
Phone: (706) 722-2334
Fax: (706) 724-7032
Type: Location
Saint Sebastian Way, Augusta, Richmond County, Georgia, 30912, United States
SUITE 408
AUGUSTA, GA 309012651
Phone: (706) 722-2334
Fax: (706) 724-7032
Type: Mailing
818 SAINT SEBASTIAN WAY STE 104
AUGUSTA, GA 309012652
Phone: (706) 434-0130
Fax: (706) 434-0131
Type: Location
1350 Walton Way
Augusta, GA 309012612
Phone: (706) 434-0130
Fax: (706) 434-0131
Type: Location
818 Saint Sebastian Way Ste 408
Augusta, GA 309012654
Phone: (706) 434-0130
Fax: (706) 434-0131
Type: Location
PO BOX 1705
AUGUSTA, GA 309031705
Phone: (706) 854-6008
Fax: (706) 854-6946
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $557.
Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.
Last reported payment date: 2024-12-25 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($380).
Total Amount
$557
General + Research + Ownership
Payments
10
Total payment records
General Amount
$557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-05-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100528000030 | I | General Surgery | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 610 | 556 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 87 | 87 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 58 | $0 |
| 19083 | Biopsy of breast and placement of locating device using ultrasound, first growth | 61 | 58 | $0 |
| 19301 | Partial removal of breast | 54 | 45 | $0 |
Insurance plans in this area (ZIP 30901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | GA | |
| General Surgery | GA | |
| Orthopedic Surgery | GA | |
| U R O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Surgical Oncology | WA |
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