MARK JUSTIN COOPER (MD) – Emergency Medicine Physician, NPI 1912434127

MARK JUSTIN COOPER (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. E-13006 (AR). The NPI Number for MARK JUSTIN COOPER (MD) is 1912434127

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MARK JUSTIN COOPER (MD)
NPI
1912434127
Phone
(269) 337-6600
Address
1000 OAKLAND DR
Enumeration Date
18 May 2017
Last Update Date
7 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5013293831
Graduation Year
2017 (9 years ago)
PAC ID
7618245424
Group Practice PAC ID
1557694049
Professional Enrollment ID
I20200409002246
Address ID
AR720346297CO2302XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for MARK JUSTIN COOPER (MD)

  • 1000, Oakland Drive, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490081282

    Phone: (269) 337-6600

    Fax: (269) 337-6475

    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 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-11-18 • Largest payer in this snapshot: Boston Scientific Corporation ($20).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-18

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: 2020-04-09

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
I20200409002246IEmergency MedicineARTBD

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
99285Emergency department visit with high level of medical decision making388364$0
99284Emergency department visit with moderate level of medical decision making174168$0
99291Critical care, first 30-74 minutes131126$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2222$0
View full utilization report →

Insurance plans in this area (ZIP 49008)

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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: 1557694049View full group profile
NameSpecialtyState
-AR
Nurse PractitionerAR
Emergency MedicineLA
Nurse PractitionerAR
Emergency MedicineAR
Nurse PractitionerLA
Nurse PractitionerAR
Emergency MedicineAR
Emergency MedicineAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

How do payers reference MARK JUSTIN COOPER (MD)?
For MARK JUSTIN COOPER (MD), use NPI 1912434127 as the unique 10-digit identifier.
Is there an active status for MARK JUSTIN COOPER (MD)?
For scheduling context, MARK JUSTIN COOPER (MD) is shown as active in the registry.
What clinical focus is listed for MARK JUSTIN COOPER (MD)?
At a glance, MARK JUSTIN COOPER (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARK JUSTIN COOPER (MD) located near Kalamazoo?
MARK JUSTIN COOPER (MD) currently maps to Kalamazoo, Michigan in this extract.
Can I trust this NPI listing for MARK JUSTIN COOPER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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