MARK C COOPER M.D.
NPI 1225080849
Family Medicine in Scottsboro, AL

Active since May 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 01D1044364 · Waiver
94.63/100
CMS Quality Rating
505 BURLINGTON ST, SCOTTSBORO, AL 35768(256) 259-4100(256) 259-4104 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2020, Mar 30, 2018 (2 updates tracked since 2018).

About Mark C Cooper M.d. NPPES

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

MARK C COOPER M.D. (NPI 1225080849) is an individual family medicine provider in Scottsboro, Alabama, licensed in Alabama (22070) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 15, 2027, and is a graduate of University Of Virginia School Of Medicine (1997).

NPPES Registry Identity

NPI1225080849
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK C COOPERCredential: M.D.
Location Address505 BURLINGTON STScottsboro, AL 35768-4216
Mailing Address505 Burlington StScottsboro, AL 35768-4216 · (256) 259-4100 · Fax (256) 259-4104
Fax(256) 259-4104
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1997
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
NPI 1225080849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 22070
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.
505 BURLINGTON ST, Scottsboro, AL 35768

Other Identifiers 1

Medicaid051529856AL

Accepted 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

Mark C 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 ID1052345360
PECOS Enrollment IDI20050926000220
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1044364

Mark C Cooper MD PC · Scottsboro, AL
Active · expires Aug 15, 2027
CLIA Number01D1044364
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorMark C. Cooper MD
Laboratory Phone(256) 259-4100
Laboratory LocationMark C Cooper MD PC505 Burlington Street, Scottsboro, AL 35768
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,680 services16 patients
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.
287 services163 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.
225 services120 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
223 services141 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
173 services124 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
151 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35768 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.27
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%157 patients4/55-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 7

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
9 suppliers39 claims122 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers28 claims42 services$1.15 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4410
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.00 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
2 suppliers12 claims12 services$72.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims68 services$3.22 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$62.42 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 4

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

Nurse Practitioner (Family)
505 BURLINGTON ST
SCOTTSBORO, AL 35768
Nurse Practitioner (Family)
505 BURLINGTON ST
SCOTTSBORO, AL 35768
Family Medicine
505 BURLINGTON ST
SCOTTSBORO, AL 35768
Family Medicine
505 BURLINGTON ST
SCOTTSBORO, AL 35768

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 1225080849. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Mark Cooper located?

Mark Cooper practices at 505 Burlington St, Scottsboro, AL 35768. The listed phone number is (256) 259-4100.

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.

Does Mark Cooper hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1044364) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mark Cooper accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare 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.

When was this NPI record last updated?

The NPPES record for Mark Cooper was last updated on July 30, 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.