DR. JIMMY L COOPER (MD) – Emergency Medicine Physician, NPI 1508873886

DR. JIMMY L COOPER (MD) is a healthcare provider. based in Fort sam houston, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. M5673 (TX). The NPI Number for DR. JIMMY L COOPER (MD) is 1508873886

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIMMY L COOPER (MD)
NPI
1508873886
Phone
(210) 916-4141
Address
3851 ROGER BROOKE DR
Enumeration Date
1 August 2006
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
4097552273
Graduation Year
1996 (30 years ago)
PAC ID
1951321470
Group Practice PAC ID
4880039338
Professional Enrollment ID
I20070907000256
Address ID
TX776571302LU220XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. JIMMY L COOPER (MD)

  • 3851 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344501

    Phone: (210) 916-4141

    Type: Location

  • 23511 Hardy Oak Blvd

    San Antonio, TX 782581928

    Phone: (210) 361-3266

    Fax: (210) 564-9156

    Type: Location

  • 3851 Roger Brooke Dr

    Fort Sam Houston, TX 782344501

    Phone: (210) 916-4141

    Type: Location

  • 18007 IH 10 W

    SAN ANTONIO, TX 782579536

    Phone: (210) 530-1040

    Fax: (210) 530-1187

    Type: Location

  • 18731, Corsini Drive, Point Bluff, San Antonio, Bexar County, Texas, 78258, United States

    SAN ANTONIO, TX 782581629

    Phone: (210) 218-4852

    Type: Mailing

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: PFIZER INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$19
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: 2007-09-07

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
I20070907000256IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making5352$0
99283Emergency department visit with low level of medical decision making1818$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1616$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 4880039338View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineTX
Internal MedicineTX
Emergency Medicine, Internal MedicineLA
Emergency Medicine, Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX
Family Practice, Emergency MedicineTX
Emergency MedicinePA
Emergency MedicineTX
Family Practice, Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JIMMY L COOPER (MD)?
NPI 1508873886 is assigned to DR. JIMMY L COOPER (MD) under the national enumeration system.
Is DR. JIMMY L COOPER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JIMMY L COOPER (MD)?
The page reflects Emergency Medicine Physician for DR. JIMMY L COOPER (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JIMMY L COOPER (MD)?
We surface Fort Sam Houston, Texas for DR. JIMMY L COOPER (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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