MICHAEL STEPHEN COOTER M.D.
NPI 1326094046
Otolaryngology in Greenville, SC

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
1 DOCTORS DRIVE, GREENVILLE, SC 29605(864) 572-7001(864) 412-0436 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Stephen Cooter M.d. NPPES

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

MICHAEL STEPHEN COOTER M.D. (NPI 1326094046) is an individual otolaryngology provider in Greenville, South Carolina, licensed in South Carolina (20049) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1326094046
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMICHAEL STEPHEN COOTERCredential: M.D.
Location Address1 DOCTORS DRIVEGreenville, SC 29605
Mailing Address1 Doctors DriveGreenville, SC 29605 · (864) 572-7001 · Fax (864) 412-0436
Fax(864) 412-0436
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
NPI 1326094046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in SC · 20049
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1 DOCTORS DRIVE, Greenville, SC 29605

Other Identifiers 3

OtherP00816916SC · Rr Medicare
MedicaidT41693SC
OtherP00836348SC · Rr Medicare

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

Michael Stephen Cooter 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 ID2062554611
PECOS Enrollment IDI20100121000038
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 14

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.
176 services143 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.
128 services104 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
111 services111 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
80 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
68 services64 patients

Hospital Affiliations CMS Care Compare 4

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420037
Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County
Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

Otolaryngology
1 DOCTORS DRIVE
GREENVILLE, SC 29605
Otolaryngology
1 DOCTORS DRIVE
GREENVILLE, SC 29605
Otolaryngology
1 DOCTORS DRIVE
GREENVILLE, SC 29605
Otolaryngology
1 DOCTORS DRIVE
GREENVILLE, SC 29605

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 Michael Cooter's NPI number?

The NPI number for Michael Cooter is 1326094046. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Michael Cooter located?

Michael Cooter practices at 1 Doctors Drive, Greenville, SC 29605. The listed phone number is (864) 572-7001.

What is Michael Cooter's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Cooter enrolled in Medicare?

Yes. Michael Cooter 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 Michael Cooter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Michael Cooter 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 Michael Cooter affiliated with any hospitals?

According to CMS data, Michael Cooter is affiliated with St Francis-Downtown, Prisma Health Hillcrest Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cooter was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.