COOPER L RENDON (PA-C) – Occupational Medicine Physician, NPI 1003199068
Occupational Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for COOPER L RENDON (PA-C)
7635 ADDISEN PATH
INVER GROVE HEIGHTS, MN 550774108
Phone: (805) 698-8480
Type: Mailing
1575 20th St NW
Suite 103
Faribault, MN 550212930
Phone: (507) 333-3351
Type: Location
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: 2014-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20141124000176 | I | Physician Assistant | MN | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 60 | 60 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 28 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 22 | 19 | $0 |
Insurance plans in this area (ZIP 55077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MN | |
| Nurse Practitioner | CO | |
| Infectious Disease, Internal Medicine | MN | |
| Physician Assistant | MN | |
| P S Y C H I A T R Y | ND | |
| Internal Medicine | MN | |
| Physician Assistant | MN | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | MN | |
| Family Practice | MN |
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