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BILLY COOPER APRN
NPI 1033395801
Nurse Practitioner - Adult Health in Cincinnati, OH

Active since January 11, 2008PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 558-5281(513) 558-5791 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2017, Aug 18, 2016, Jun 13, 2016 (3 updates tracked since 2016).

About Billy Cooper Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILLY COOPER APRN (NPI 1033395801) is an individual adult health provider in Cincinnati, Ohio, licensed in Ohio (APRN CNP 17771) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033395801
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameBILLY COOPERCredential: APRN
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 558-5281
Fax(513) 558-5791
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2008
Last NPPES UpdateJune 9, 20173 updates tracked since enumeration
✔ NPI 1033395801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · APRN CNP 17771
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3003806 (KY)
234 GOODMAN ST, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 3

Medicare PINP400031712KY
Medicare PINK112031KY
Medicaid7100141600KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Billy Cooper Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527256924
PECOS Enrollment IDI20101229001034, I20230404001114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Billy Cooper reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC
Same address
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Summit Medical Group, Inc.
7.5 mi
Urgent Care
2626 ALEXANDRIA PIKE
Highland Heights, KY 41076
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1881026169 (859) 757-0434
Compass Emergency Physicians Psc
9.5 mi
Emergency Medicine
1 MEDICAL VILLAGE DR
Edgewood, KY 41017
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 70 clinicians in this Medicare group
NPI 1841696739 (859) 301-2250
Southeastern Emergency Physicians LLC
51 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Baptist Health Medical Group Inc
65 mi
Rural Health
6 LINVILLE DR
Paris, KY 40361
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
NPI 1538865399 (859) 987-3710
Oldham County Emergency Physicians, LLC
70 mi
Emergency Medicine
1025 NEW MOODY LN
La Grange, KY 40031
  • Reassigned Medicare billing, Kentucky enrollment
  • 77 clinicians in this Medicare group
NPI 1508726035 (502) 222-5388

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services89 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services71 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
69 services67 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services24 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.64
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER TOPALA MD
Anesthesiology
234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
MELISSA T WESLEY CRNA
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
DR. SAURABH CHANDRA MD
Internal Medicine (Critical Care Medicine)
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-1000
JOSEPH D PANDISCIA PA-C
Physician Assistant
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 475-8690
RACHEL BEAUPRE
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 584-1387
KATIE DEAN
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
MICHELLE CHAPMAN
Anesthesiology
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-6356
KAYLA BERTKE
Pharmacist
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 584-3468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Billy Cooper's NPI number?

The NPI number for Billy Cooper is 1033395801. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Billy Cooper located?

Billy Cooper practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 558-5281.

What is Billy Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Billy Cooper enrolled in Medicare?

Yes. Billy Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Billy Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Billy Cooper reassigns Medicare benefits to 6 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH), Summit Medical Group, Inc. (Highland Heights, KY), Compass Emergency Physicians Psc (Edgewood, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Baptist Health Medical Group Inc (Paris, KY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Billy Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Billy Cooper accept?

Health plans from CareSource and Oscar Health Insurance list Billy Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Billy Cooper was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.