DR. CHARLES IVERSON HOOPER (D.O.) – Family Medicine Physician, NPI 1174638068
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. CHARLES IVERSON HOOPER (D.O.)
South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
SUITE 101
SOUTH JORDAN, UT 840952481
Phone: (801) 302-0899
Fax: (801) 302-0892
Type: Mailing
1860 HOWE AVE STE 440
SACRAMENTO, CA 958251098
Phone: (916) 569-8484
Fax: (916) 256-2214
Type: Mailing
6339 MACK RD
SACRAMENTO, CA 958234655
Phone: (916) 454-2345
Fax: (916) 457-2667
Type: Location
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 $127.
Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($106).
Total Amount
$127
General + Research + Ownership
Payments
2
Total payment records
General Amount
$127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $106 |
| ABBVIE INC. | $21 |
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: 2014-10-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141020000741 | I | Family Practice | CA | TBD |
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.
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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 31 | 22 | $0 |
| 81002 | Urinalysis, manual test | 12 | 11 | $0 |
Insurance plans in this area (ZIP 84095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| P S Y C H I A T R Y | MN | |
| Internal Medicine | IL | |
| - | CA |
Reviews
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