SHAUN DANIEL COOPER (MD) – Dermatology Physician, NPI 1023675352
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for SHAUN DANIEL COOPER (MD)
Carney Hospital, 2100, Dorchester Avenue, Lower Mills, Boston, Suffolk County, Massachusetts, 02124, United States
BOSTON, MA 021245615
Phone:
Type: Mailing
1600 CENTRAL DR STE 158
BEDFORD, TX 760226015
Phone: (817) 736-2912
Fax: (817) 736-2912
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $3,305.
Total Amount is formed as General ($3,305) + Research ($0) + Ownership ($0) = $3,305.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($954).
Total Amount
$3,305
General + Research + Ownership
Payments
133
Total payment records
General Amount
$3,305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $954 |
| Amgen Inc. | $452 |
| Regeneron Healthcare Solutions, Inc. | $384 |
| Arcutis Biotherapeutics, Inc. | $189 |
| GENZYME CORPORATION | $170 |
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: 2023-07-19
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 |
|---|---|---|---|---|
| I20230719001769 | I | Dermatology | TX | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 02124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX |
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