MICHAEL J MCCOOBERY (MD) – Surgery Physician, NPI 1659352516

MICHAEL J MCCOOBERY (MD) is a healthcare provider. based in Brockton, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 45934 (MA). The NPI Number for MICHAEL J MCCOOBERY (MD) is 1659352516

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J MCCOOBERY (MD)
NPI
1659352516
Phone
(508) 894-0400
Address
110 LIBERTY ST
Enumeration Date
8 November 2005
Last Update Date
20 September 2013

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
8921039215
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20050826000088
Address ID
MA023023308Br680XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for MICHAEL J MCCOOBERY (MD)

  • 110, Liberty Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023015521

    Phone: (508) 894-0400

    Fax: (508) 565-0157

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Boston Scientific Corporation ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-08-26

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
I20050826000088IGeneral SurgeryMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9949$0
11042Removal of skin and tissue, 20.0 sq cm or less4111$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
99212Established patient office or other outpatient visit, 10-19 minutes1714$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 7719876267View full group profile
NameSpecialtyState
-MA
General SurgeryIL
E N D O C R I N O L O G YMI
-CA
Internal MedicineMA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Orthopedic SurgeryMA
-NY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL J MCCOOBERY (MD)?
MICHAEL J MCCOOBERY (MD) — NPI 1659352516 — is the standard way to identify this listing.
Can I rely on MICHAEL J MCCOOBERY (MD) being an active provider?
As of the registry snapshot, MICHAEL J MCCOOBERY (MD) is marked active.
What taxonomy line describes MICHAEL J MCCOOBERY (MD)?
For research purposes, treat MICHAEL J MCCOOBERY (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MICHAEL J MCCOOBERY (MD) list a practice location?
Patients near Brockton, Massachusetts may find MICHAEL J MCCOOBERY (MD) in results; validate coverage separately.
Is the information about MICHAEL J MCCOOBERY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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