1. Home
  2. Directory
  3. Florida
  4. Crestview
  5. Family Medicine
  6. NPI Profile

DR. MARK J. COOPER M.D.
NPI 1063481182
Family Medicine in Crestview, FL

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
93.88/100
CMS Quality Rating
550 REDSTONE AVE W, SUITE 200, CRESTVIEW, FL 32536(850) 682-6122(850) 682-5917 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark J. Cooper M.d. NPPES

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

DR. MARK J. COOPER M.D. (NPI 1063481182) is an individual family medicine provider in Crestview, Florida, licensed in Florida (ME90602) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (1999).

NPPES Registry Identity

NPI1063481182
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK J. COOPERCredential: M.D.
Location Address550 REDSTONE AVE W, SUITE 200Crestview, FL 32536-6430
Mailing AddressPo Box 2699Pensacola, FL 32513-2699
Phone(850) 682-6122
Fax(850) 682-5917
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1999
Enumeration DateMarch 14, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1063481182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME90602
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
550 REDSTONE AVE W, Crestview, FL 32536
Open in Google Maps ↗

Other Identifiers 3

Medicaid271080300FL
Medicare UPINH68605FL
Medicare ID-Type Unspecified48135ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark J. Cooper M.d. 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 ID3173587698
PECOS Enrollment IDI20041115001092
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
621 services310 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
215 services116 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
203 services203 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
38 services38 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
34 services29 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
27 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100122
Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32536 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

93.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.8
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
72%476 patients4/55-star benchmark: 93%
Cervical Cancer Screening
29%305 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
11%36 patients
Closing the Referral Loop: Receipt of Specialist Report
50%699 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
68%1,125 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
67%881 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
23%297 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%297 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,577 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
90%747 patients4/55-star benchmark: 100%
HIV Screening
15%1,022 patients2/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%1,280 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%1,433 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,479 patients
Patients screened: 93% · 1,479 patients
92%224 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%567 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 742 patients
Patients totalRate: 16% · 795 patients
16%795 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers75 claims176 services$5.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims29 services$1.12 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers14 claims79 services$14.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers22 claims22 services$59.56 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers16 claims16 services$18.72 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
7 suppliers17 claims17 services$15.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GREGORY COATES M.D.
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229
MR. CHARLES EUGENE HEWETT III ATC, LAT
Specialist/Technologist (Athletic Trainer)
550 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 683-5906
LAUREN BRENCI FRANKLIN MD
Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Okaloosa County (850) 682-6122
DONALD SEXTON PA-C
Physician Assistant
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Okaloosa County (850) 682-6122
DR. KIMBERLY P HOOD M.D
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2223
AUSTIN HARRIS
Student in an Organized Health Care Education/Training Program
550 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 416-1890
JEROME ANTHONY TRUXILLO PT, OCS
Physical Therapist
550 REDSTONE AVE W, SUITE 390
CRESTVIEW, FL 32536
Okaloosa County (850) 683-0077
GARY CHARLES PEREZ PHYSICIAN ASSISTANT
Physician Assistant
550 REDSTONE AVE W, SUITE 370
CRESTVIEW, FL 32536
Okaloosa County (850) 682-2209

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 Mark Cooper's NPI number?

The NPI number for Mark Cooper is 1063481182. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Mark Cooper located?

Mark Cooper practices at 550 Redstone Ave W Suite 200, Crestview, FL 32536. The listed phone number is (850) 682-6122.

What is Mark Cooper's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Cooper enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Cooper accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Mark 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.

Is Mark Cooper affiliated with any hospitals?

According to CMS data, Mark Cooper is affiliated with Sacred Heart Hospital, Hca Florida Twin Cities Hospital, North Okaloosa Medical Center and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Mark Cooper was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.