DR. BLAKE A COOPER (M.D.) – Ophthalmology Physician, NPI 1275579567

DR. BLAKE A COOPER (M.D.) is a healthcare provider. based in Shawnee mission, Kansas. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 2001014975 (MO). The NPI Number for DR. BLAKE A COOPER (M.D.) is 1275579567

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAKE A COOPER (M.D.)
NPI
1275579567
Phone
(913) 831-7400
Address
9301 W 74TH ST
Enumeration Date
22 June 2006
Last Update Date
26 August 2022

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8165053400
Graduation Year
1997 (29 years ago)
PAC ID
9931138377
Group Practice PAC ID
3971579780
Professional Enrollment ID
I20050805000837
Address ID
MO641161787KA4100XDRXX401

Contacts

Secure Messaging
bcooper@kcretina.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

157 OPHTHALMOLOGY in KS

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Provider Addresses for DR. BLAKE A COOPER (M.D.)

  • Shawnee Mission Medical Building, 9119, West 74th Street, Merriam, Johnson County, Kansas, 66204, United States

    SUITE 210

    SHAWNEE MISSION, KS 662042207

    Phone: (913) 831-7400

    Fax: (913) 831-7409

    Type: Mailing

  • 8600 QUIVIRA RD STE 100

    LENEXA, KS 662152857

    Phone: (913) 831-7400

    Fax: (913) 831-7409

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $12,463.

Total Amount is formed as General ($12,463) + Research ($0) + Ownership ($0) = $12,463.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Genentech USA, Inc. ($5,056).

Total Amount

$12,463

General + Research + Ownership

Payments

12

Total payment records

General Amount

$12,463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

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: 2008-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050805000837IOphthalmologyMOTBD
I20080513000768IOphthalmologyKSTBD

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
J2777Injection, faricimab-svoa, 0.1 mg57,006207$0
92134Imaging of retina2,3321,114$0
67028Injection of drug into eye1,171314$0
J2778Injection, ranibizumab, 0.1 mg86035$0
92012Established patient problem focused exam of visual system563500$0
View full utilization report →

Insurance plans in this area (ZIP 66204)

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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: 3971579780View full group profile
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Reviews

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Frequently asked questions

Can I verify DR. BLAKE A COOPER (M.D.) with an NPI only?
You can start verification with NPI 1275579567 for DR. BLAKE A COOPER (M.D.), then check state licensing separately.
Can I rely on DR. BLAKE A COOPER (M.D.) being an active provider?
As of the registry snapshot, DR. BLAKE A COOPER (M.D.) is marked active.
What taxonomy line describes DR. BLAKE A COOPER (M.D.)?
For research purposes, treat DR. BLAKE A COOPER (M.D.) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. BLAKE A COOPER (M.D.)?
DR. BLAKE A COOPER (M.D.)'s geographic hint is Shawnee Mission, Kansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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