DAVID M COOLEY (MD) – Gastroenterology Physician, NPI 1083972814

DAVID M COOLEY (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.132488 (OH). The NPI Number for DAVID M COOLEY (MD) is 1083972814

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M COOLEY (MD)
NPI
1083972814
Phone
Not provided
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
30 April 2012
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4194452015
Graduation Year
2012 (14 years ago)
PAC ID
5597998567
Group Practice PAC ID
0941114250
Professional Enrollment ID
I20180726001415
Address ID
OH435021005AR121XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

863 GASTROENTEROLOGY in OH

Provider Addresses for DAVID M COOLEY (MD)

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 433 W HIGH ST

    BRYAN, OH 435061690

    Phone: (419) 636-1131

    Fax: (419) 636-3100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $805.

Total Amount is formed as General ($805) + Research ($0) + Ownership ($0) = $805.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($427).

Total Amount

$805

General + Research + Ownership

Payments

51

Total payment records

General Amount

$805

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2018-07-26

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
I20180726001415IGastroenterologyOHTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope170164$0
45380Biopsy of large bowel using a flexible endoscope129129$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare122119$0
99213Established patient office or other outpatient visit, 20-29 minutes9184$0
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm8881$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 0941114250View full group profile
NameSpecialtyState
-IN
Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Interventional RadiologyOH
Radiation OncologyOH
Qualified AudiologistOH
Nurse PractitionerIN
-IN
O T O L A R Y N G O L O G YIN
Orthopedic SurgeryOH
-IN
Family PracticeIN

Reviews

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Frequently asked questions

How do I look up DAVID M COOLEY (MD) by NPI?
Use NPI 1083972814 when you need to reference DAVID M COOLEY (MD) in forms, claims, or directories.
Is DAVID M COOLEY (MD) active in the national directory?
DAVID M COOLEY (MD)'s public NPI profile is in an active state.
Does DAVID M COOLEY (MD) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for DAVID M COOLEY (MD). Clinical services aligned with this taxonomy classification.
Does DAVID M COOLEY (MD) practice in Indiana?
You will see Fort Wayne, Indiana on file for DAVID M COOLEY (MD) alongside any extra practice locations.
How can I contact DAVID M COOLEY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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