MICHELLE H COOPER MD
NPI 1275517922
Obstetrics & Gynecology in Dover, DE

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
200 BANNING STREET, SUITE 320, DOVER, DE 19904(302) 674-0223(302) 674-0109 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle H Cooper Md NPPES

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

MICHELLE H COOPER MD (NPI 1275517922) is an individual obstetrics & gynecology provider in Dover, Delaware, licensed in Delaware (C10005703) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1995).

NPPES Registry Identity

NPI1275517922
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMICHELLE H COOPERCredential: MD
Location Address200 BANNING STREET, SUITE 320Dover, DE 19904-3530
Mailing Address200 Banning Street, Suite 320Dover, DE 19904-3530 · (302) 674-0223 · Fax (302) 674-0109
Fax(302) 674-0109
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1995
Enumeration DateDecember 5, 2005
Last NPPES UpdateJune 18, 2010
NPI 1275517922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in DE · C10005703
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
200 BANNING STREET, Dover, DE 19904

Other Identifiers 3

Medicare ID-Type Unspecified016925077DE
Medicare UPINH07921
Medicaid0000969701DE

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

Michelle H Cooper Md 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 ID9638119621
PECOS Enrollment IDI20050510000177
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 12

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.
202 services129 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.
196 services147 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
181 services181 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
50 services25 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
31 services31 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost85.33

Other Providers at the Same Location NPPES 8

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

Nurse Anesthetist, Certified Registered
200 BANNING STREET, SUITE 110
DOVER, DE 19904
Obstetrics & Gynecology
200 BANNING STREET, SUITE 320
DOVER, DE 19904
Clinic/Center (Urgent Care)
200 BANNING STREET
DOVER, DE 19904
Podiatrist
200 BANNING STREET, SUITE 360
DOVER, DE 19904
Obstetrics & Gynecology
200 BANNING STREET, SUITE 320
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
200 BANNING STREET, SUITE 340
DOVER, DE 19904
Internal Medicine (Infectious Disease)
200 BANNING STREET, SUITE 230
DOVER, DE 19904
Plastic Surgery
200 BANNING STREET, SUITE 370
DOVER, DE 19904

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 Michelle Cooper's NPI number?

The NPI number for Michelle Cooper is 1275517922. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Michelle Cooper located?

Michelle Cooper practices at 200 Banning Street Suite 320, Dover, DE 19904. The listed phone number is (302) 674-0223.

What is Michelle Cooper's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michelle Cooper enrolled in Medicare?

Yes. Michelle 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 Michelle Cooper accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Michelle 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 Michelle Cooper was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.