DR. WALTER THOMAS III COOPER (M.D.) – Family Medicine Physician, NPI 1528137759

DR. WALTER THOMAS III COOPER (M.D.) is a healthcare provider. based in Pasco, Washington. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD00020136 (WA). The NPI Number for DR. WALTER THOMAS III COOPER (M.D.) is 1528137759

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER THOMAS III COOPER (M.D.)
NPI
1528137759
Phone
(509) 547-9521
Address
1200 N 14TH AVE
Enumeration Date
6 November 2006
Last Update Date
8 January 2008

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5097837416
Graduation Year
1978 (48 years ago)
PAC ID
3072404763
Group Practice PAC ID
0143217562
Professional Enrollment ID
I20120502000265
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WALTER THOMAS III COOPER (M.D.)

  • 1200, North 14th Avenue, Tri-Cities, Franklin County, Washington, 99301, United States

    SUITE 245

    PASCO, WA 993014182

    Phone: (509) 547-9521

    Fax: (509) 547-5983

    Mailing address matches the actual address.

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: 2012-05-02

PECOS data refreshed: 2026-06-15

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
I20120502000265IFamily PracticeWATBD

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 99301)

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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: 0143217562View full group profile
NameSpecialtyState
-WA
-WA

Reviews

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Frequently asked questions

What is the registry number for DR. WALTER THOMAS III COOPER (M.D.)?
The registry entry for DR. WALTER THOMAS III COOPER (M.D.) shows NPI 1528137759.
Is DR. WALTER THOMAS III COOPER (M.D.)'s NPI status active today?
Active status means DR. WALTER THOMAS III COOPER (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. WALTER THOMAS III COOPER (M.D.) provide?
DR. WALTER THOMAS III COOPER (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. WALTER THOMAS III COOPER (M.D.)?
The directory associates DR. WALTER THOMAS III COOPER (M.D.) with Pasco, Washington. Check all listed addresses for suites or satellite offices.
Who maintains DR. WALTER THOMAS III COOPER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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