DR. NOAH M COOPERSTEIN (MD) – Family Medicine Physician, NPI 1013378652

DR. NOAH M COOPERSTEIN (MD) is a healthcare provider. based in O fallon, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 125069109 (IL). The NPI Number for DR. NOAH M COOPERSTEIN (MD) is 1013378652

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. NOAH M COOPERSTEIN (MD)
NPI
1013378652
Phone
(618) 256-7311
Address
3 SAINT ELIZABETH BLVD STE 4000
Enumeration Date
9 March 2016
Last Update Date
7 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
6182335480
Graduation Year
2016 (10 years ago)
PAC ID
8426346156
Group Practice PAC ID
1456256874
Professional Enrollment ID
I20190826000882
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for DR. NOAH M COOPERSTEIN (MD)

  • 3 SAINT ELIZABETH BLVD STE 4000

    O FALLON, IL 622691284

    Phone: (618) 256-7311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Gilead Sciences, Inc. ($355).

Total Amount

$393

General + Research + Ownership

Payments

13

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2019-08-26

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
I20190826000882IFamily PracticeILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12750$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6155$0
99238Hospital discharge day management, 30 minutes or less5149$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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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: 1456256874View full group profile
NameSpecialtyState
-IL
Family PracticeID
Mental Health CounselorIL
-IL
Family PracticeIL
Nurse PractitionerIL
-IL
Cardiovascular Disease (Cardiology)IL
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What federal number belongs to DR. NOAH M COOPERSTEIN (MD)?
The federal identifier for DR. NOAH M COOPERSTEIN (MD) is NPI 1013378652.
Is DR. NOAH M COOPERSTEIN (MD) currently active in the NPI registry?
CMS-published data lists DR. NOAH M COOPERSTEIN (MD) as an active registrant.
What field does DR. NOAH M COOPERSTEIN (MD) work in?
You can think of DR. NOAH M COOPERSTEIN (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. NOAH M COOPERSTEIN (MD) practice in Illinois?
You will see O Fallon, Illinois on file for DR. NOAH M COOPERSTEIN (MD) alongside any extra practice locations.
Is DR. NOAH M COOPERSTEIN (MD) a real provider?
This page reflects official NPPES data for NPI 1013378652. Always confirm identity and privileges with the practice and licensing boards.

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