GREGORY J COOPER
NPI 1245765239
Family Medicine in Kingsport, TN

Q: What is Gregory Cooper's NPI number?

The NPI number for Gregory Cooper is 1245765239. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Q: What is Gregory Cooper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Cooper was last updated on February 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment

102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2020, Aug 11, 2020, Apr 27, 2017 (3 updates tracked since 2017).

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About Gregory J Cooper NPPES

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

GREGORY J COOPER (NPI 1245765239) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (MD61883) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2017).

NPPES Registry Identity

NPI1245765239

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGREGORY J COOPER

Location Address102 E RAVINE RDKingsport, TN 37660-3814

Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 245-9600 · Fax (423) 224-5963

Phone(423) 245-9600

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2017

Enumeration DateApril 27, 2017

Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2024

✔ NPI 1245765239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · MD61883

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.

102 E RAVINE RD, Kingsport, TN 37660

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Other Identifiers 1

MedicaidQ042523TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Gregory J Cooper 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 ID4183953607

PECOS Enrollment IDI20201116001188

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 3

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.

35 services25 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.

28 services20 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.

27 services24 patients

Hospital Affiliations CMS Care Compare

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

CONSTANCE THETFORD HIXSON MD

Family Medicine