DR. GRACE N KOOPER (M.D.) – Psychiatry Physician, NPI 1477531895
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
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Provider Addresses for DR. GRACE N KOOPER (M.D.)
Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States
WORCESTER, MA 016081216
Phone: (508) 363-6196
Type: Mailing
Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States
BROCKTON, MA 023023308
Phone: (808) 941-7228
Fax: (508) 941-6401
Type: Location
28 WILLIS DR
CUMBERLAND, RI 028642066
Phone: (401) 258-1667
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: 2006-03-28
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 |
|---|---|---|---|---|
| I20060328000278 | I | Psychiatry | MA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 105 | 35 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 46 | 17 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 32 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 19 | 12 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 01608)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MA | 90792 | Psychiatric diagnostic evaluation with medical services | 239 | 209 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Pain Management, Anesthesiology | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Clinical Social Worker | MA | |
| Hospitalist, Internal Medicine | MA | |
| Physician Assistant | MA | |
| H O S P I T A L I S T | MA | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Clinical Social Worker | MA | |
| A N E S T H E S I O L O G Y | MA |
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