DR. JAC ALAN JR. COOPER (M.D.) – Surgery Physician, NPI 1144583287
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
64 COLORECTAL SURGERY (PROCTOLOGY) in IN
Provider Addresses for DR. JAC ALAN JR. COOPER (M.D.)
85 E US HIGHWAY 6 STE 240
VALPARAISO, IN 463838948
Phone: (219) 983-6240
Fax: (219) 983-6040
Type: Mailing
210 Saint Joseph Dr
Bloomington, IL 617013636
Phone: (309) 684-9100
Fax: (390) 684-9112
Type: Location
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
900 N 1ST ST
SPRINGFIELD, IL 627023749
Phone: (217) 528-7541
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-07-29
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 |
|---|---|---|---|---|
| I20200729002586 | I | Colorectal Surgery (Proctology) | IL | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 36 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 20 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 19 | 19 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 46383)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL |
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