KELLY CORR COOPER (MD) – Family Medicine Physician, NPI 1356509368
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for KELLY CORR COOPER (MD)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 402162986
Phone: (502) 449-6464
Type: Location
2018, Western Avenue, West Knoxville, Knoxville, Knox County, Tennessee, 37921, United States
KNOXVILLE, TN 379215718
Phone: (865) 544-0406
Fax: (865) 544-0480
Type: Location
6350, West Andrew Johnson Highway, May Acres, Morristown, Hamblen County, Tennessee, 37877, United States
TALBOTT, TN 378778605
Phone: (800) 355-3565
Fax: (423) 714-2355
Type: Mailing
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 588-9490
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $474.
Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Gilead Sciences, Inc. ($459).
Total Amount
$474
General + Research + Ownership
Payments
10
Total payment records
General Amount
$474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $459 |
| Alkermes, Inc. | $15 |
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: 2020-04-01
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 |
|---|---|---|---|---|
| I20200401000178 | I | Family Practice | KY | 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 40216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | KY | |
| - | IL | |
| Internal Medicine | KY | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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