JOHN III COOPER (DO) – Family Medicine Physician, NPI 1649764341

JOHN III COOPER (DO) is a healthcare provider. based in Lewiston, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. TP18009 (ME). The NPI Number for JOHN III COOPER (DO) is 1649764341

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN III COOPER (DO)
NPI
1649764341
Phone
(207) 795-2800
Address
76 HIGH ST
Enumeration Date
18 June 2018
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
2075188869
Graduation Year
2018 (8 years ago)
PAC ID
5890045348
Group Practice PAC ID
7810229259
Professional Enrollment ID
I20210629002223
Address ID
ME041022363PO335XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

403 EMERGENCY MEDICINE in ME

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Provider Addresses for JOHN III COOPER (DO)

  • 76, High Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042407649

    Phone: (207) 795-2800

    Fax: (207) 795-2808

    Type: Mailing

  • 35 MEDICAL CENTER PKWY

    AUGUSTA, ME 043308160

    Phone: (207) 248-5000

    Fax: (207) 626-1648

    Type: Mailing

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: 2021-06-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210629002223IEmergency MedicineMETBD

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
99284Emergency department visit with moderate level of medical decision making162149$0
99283Emergency department visit with low level of medical decision making8584$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6238$0
99285Emergency department visit with high level of medical decision making3836$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3331$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 7810229259View full group profile
NameSpecialtyState
Family PracticeME
Family PracticeME
Physician AssistantME
Family PracticeNY
Internal MedicineVA
Physician AssistantME
Physician AssistantME
Family Practice, Hospice/Palliative CareME
Internal MedicineME

Reviews

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Frequently asked questions

What NPI should I save for JOHN III COOPER (DO)?
Save NPI 1649764341 if you need a stable reference for JOHN III COOPER (DO).
Is JOHN III COOPER (DO)'s NPI currently valid?
The extract we use shows JOHN III COOPER (DO) as active.
Can you summarize JOHN III COOPER (DO)'s specialty in plain language?
Clinically, the directory lists JOHN III COOPER (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for JOHN III COOPER (DO)?
We surface Lewiston, Maine for JOHN III COOPER (DO) based on available NPPES addresses.
What if Lewiston, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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