JAMIE L COOPER (DO) – Obstetrics & Gynecology Physician, NPI 1629017199
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for JAMIE L COOPER (DO)
400, South Emerson Avenue, Irvington, Near Eastside, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462378633
Phone: (317) 865-3600
Fax: (317) 885-3850
Type: Mailing
1205, Hadley Road, Mooresville, Morgan County, Indiana, 46158, United States
MOORESVILLE, IN 461581737
Phone: (317) 584-3454
Fax: (317) 584-3435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $187.
Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Inari Medical, Inc. ($75).
Total Amount
$187
General + Research + Ownership
Payments
7
Total payment records
General Amount
$187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
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: 2005-10-27
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 |
|---|---|---|---|---|
| I20051027000748 | I | Obstetrics/Gynecology | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | MO | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | WV | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN |
Reviews
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