JONATHAN M COOPER (DO) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1720028830

JONATHAN M COOPER (DO) is a healthcare provider. based in St. paul, Minnesota. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 47491 (MN). The NPI Number for JONATHAN M COOPER (DO) is 1720028830

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN M COOPER (DO)
NPI
1720028830
Phone
(651) 254-8300
Address
435 Phalen Blvd
Enumeration Date
7 June 2006
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2188941515
Graduation Year
2000 (26 years ago)
PAC ID
1456384890
Group Practice PAC ID
1052229671
Professional Enrollment ID
I20060814000009
Address ID
MN564795280ST49725COUN203
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

819 ORTHOPEDIC SURGERY in MN

Provider Addresses for JONATHAN M COOPER (DO)

  • 435 Phalen Blvd

    HealthPartners Speciality Center 435

    St. Paul, MN 551305302

    Phone: (651) 254-8300

    Fax: (651) 254-8379

    Type: Location

  • Dahlberg Drive, Glenwood Junction, Golden Valley, Hennepin County, Minnesota, 55422, United States

    GOLDEN VALLEY, MN 554224841

    Phone: (763) 520-7870

    Type: Mailing

  • Verizon Minnesota Vikings Training Facility, Northwest Parkway, Eagan, Dakota County, Minnesota, 55120, United States

    EAGAN, MN 55121

    Phone: (952) 456-7600

    Fax: (952) 456-7601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Miach Orthopaedics, Inc. ($140).

Total Amount

$220

General + Research + Ownership

Payments

4

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

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: 2005-09-15

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
I20050915000503IOrthopedic SurgeryMNTBD

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 minutes5037$0
J1030Injection, methylprednisolone acetate, 40 mg2811$0
20610Aspiration and/or injection of fluid from large joint2118$0
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
73564X-ray of knee, 4 or more views1211$0
View full utilization report →

Insurance plans in this area (ZIP 55130)

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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: 1052229671View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical Social WorkerMN
Family PracticeMN
Nurse PractitionerMN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)IA
O B S T E T R I C S/ G Y N E C O L O G YMN
Emergency Medicine, Family PracticeMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

What number should I use to identify JONATHAN M COOPER (DO) for billing?
Administrative and clinical systems typically use NPI 1720028830 for JONATHAN M COOPER (DO).
Does the public listing show JONATHAN M COOPER (DO) as active?
JONATHAN M COOPER (DO)'s NPI record reflects an active status in NPPES.
What type of care does JONATHAN M COOPER (DO) provide?
JONATHAN M COOPER (DO)'s profile centers on Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JONATHAN M COOPER (DO)?
The directory associates JONATHAN M COOPER (DO) with St. Paul, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export JONATHAN M COOPER (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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