MR. JOHN DAVID EDWARD COOPER (MD) – Obstetrics & Gynecology Physician, NPI 1093193377

MR. JOHN DAVID EDWARD COOPER (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2019005175 (MO). The NPI Number for MR. JOHN DAVID EDWARD COOPER (MD) is 1093193377

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN DAVID EDWARD COOPER (MD)
NPI
1093193377
Phone
(816) 404-4862
Address
2301 Holmes St.
Enumeration Date
7 May 2015
Last Update Date
26 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733581400
Graduation Year
2015 (11 years ago)
PAC ID
9032412598
Group Practice PAC ID
1951219237
Professional Enrollment ID
I20191018002605
Address ID
MO636401921FA1103XSTXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for MR. JOHN DAVID EDWARD COOPER (MD)

  • 2301 Holmes St.

    Truman Medical Center

    Kansas City, MO 64108

    Phone: (816) 404-4862

    Fax: (816) 404-9480

    Type: Location

  • 1103 W LIBERTY ST

    FARMINGTON, MO 636401921

    Phone: (573) 756-6751

    Fax: (573) 756-6807

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Organon LLC ($29).

Total Amount

$56

General + Research + Ownership

Payments

6

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

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: 2019-10-18

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
I20191018002605IObstetrics/GynecologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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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: 1951219237View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Internal MedicineTX
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JOHN DAVID EDWARD COOPER (MD)?
MR. JOHN DAVID EDWARD COOPER (MD) — NPI 1093193377 — is the standard way to identify this listing.
Can I rely on MR. JOHN DAVID EDWARD COOPER (MD) being an active provider?
As of the registry snapshot, MR. JOHN DAVID EDWARD COOPER (MD) is marked active.
What is MR. JOHN DAVID EDWARD COOPER (MD) best known for clinically?
Directory data describes MR. JOHN DAVID EDWARD COOPER (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JOHN DAVID EDWARD COOPER (MD)?
MR. JOHN DAVID EDWARD COOPER (MD)'s geographic hint is Kansas City, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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