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COOPER JOHNSTON D.O.
NPI 1073992087
Family Medicine in Mesa, AZ

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
1301 S CRISMON RD, MESA, AZ 85209(480) 358-6100 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2023, Jul 10, 2020 (2 updates tracked since 2020).

About Cooper Johnston D.o. NPPES

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

COOPER JOHNSTON D.O. (NPI 1073992087) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (007402) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2015).

NPPES Registry Identity

NPI1073992087
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCOOPER JOHNSTONCredential: D.O.
Location Address1301 S CRISMON RDMesa, AZ 85209-3767
Mailing Address1855 W Baseline Rd Ste 101Mesa, AZ 85202-9098 · (480) 831-7566
Phone(480) 358-6100
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2015
Enumeration DateMay 22, 2015
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1073992087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 007402
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1301 S CRISMON RD, Mesa, AZ 85209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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

Cooper Johnston D.o. 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 ID3173861010
PECOS Enrollment IDI20190219000818
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

2

Medicare enrollment records show Cooper Johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rhg Of Arizona, PC
0.1 mi
Family Medicine
10238 E HAMPTON AVE STE 506
Mesa, AZ 85209
  • Reassigned Medicare billing, Arizona enrollment
  • 19 clinicians in this Medicare group
NPI 1013744218 (615) 672-7122
Heritage Technologies, LLC
12 mi
Family Medicine
1855 N STAPLEY DR
Mesa, AZ 85203
  • Reassigned Medicare billing, Arizona enrollment
  • 27 clinicians in this Medicare group
NPI 1093764938 (480) 834-7546

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85209 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

STEWARD RADIOLOGY PHYSICIANS OF ARIZONA INC
Radiology (Diagnostic Radiology)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
AZ NICU GROUP PLLC
Pediatrics (Neonatal-Perinatal Medicine)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 906-7449
JUANCHO C. DEPAOLO CRNA
Nurse Anesthetist, Certified Registered
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (800) 402-0881
VERACIAN HEALTHCARE PLC
Internal Medicine
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 275-4998
DR. WESLEY DAVID HIGH D.O
Surgery
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
RESHMA PINNAMANENI DO
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (863) 991-0400
SAMEEHA KHALID DO
Internal Medicine (Gastroenterology)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
DANIEL WAHLIN
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 373-2376

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 Cooper Johnston's NPI number?

The NPI number for Cooper Johnston is 1073992087. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Cooper Johnston located?

Cooper Johnston practices at 1301 S Crismon Rd, Mesa, AZ 85209. The listed phone number is (480) 358-6100.

What is Cooper Johnston's specialty?

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

Is Cooper Johnston enrolled in Medicare?

Yes. Cooper Johnston 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 Cooper Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cooper Johnston reassigns Medicare benefits to 2 organizations: Rhg Of Arizona, PC (Mesa, AZ) and Heritage Technologies, LLC (Mesa, AZ). 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 Cooper Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cooper Johnston accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Cooper Johnston 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 Cooper Johnston was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.