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JAMES COOPER MD
NPI 1356487516
Internal Medicine - Nephrology in Aurora, CO

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Cooper Md NPPES

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

JAMES COOPER MD (NPI 1356487516) is an individual nephrology provider in Aurora, Colorado, licensed in Colorado (44689) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2003).

NPPES Registry Identity

NPI1356487516
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAMES COOPERCredential: MD
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Phone(720) 848-0000
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2003
Enumeration DateJanuary 29, 2007
Last NPPES UpdateNovember 20, 2012
✔ NPI 1356487516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CO · 44689
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

12605 E 16TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Other Identifiers 2

Medicaid68735375CO
Medicare PINCO304898CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

James 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 ID8123183027
PECOS Enrollment IDI20090210000066, I20190329000536
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
115 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services21 patients
Needle biopsy of kidney 50200
A needle biopsy of the kidney is a medical procedure where a small sample of kidney tissue is removed using a special needle. This is done to examine the tissue under a microscope for any abnormalities. It helps in diagnosing potential kidney conditions.
14 services14 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers23 claims1,215 services$1.40 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
4 suppliers82 claims32,170 services$1.10 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers119 claims10,575 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers241 claims35,570 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,560 services$0.53 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims2,880 services$0.13 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 20

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

ELIZABETH CERIMELE CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
RUTH E PARKER CNM
Advanced Practice Midwife
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Adams County (720) 848-0000
DR. JAMES EATON MD
Radiology (Diagnostic Radiology)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ERIN WELCH MD
Dermatology
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
NEKO UPSON CNM
Advanced Practice Midwife
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
DR. ANGELA M DAVIES M.D.
Internal Medicine (Hematology & Oncology)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
MICHAEL JOBIN MD
Emergency Medicine
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
TODD GUTH MD
Emergency Medicine
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000

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 James Cooper's NPI number?

The NPI number for James Cooper is 1356487516. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is James Cooper located?

James Cooper practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is James Cooper's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Cooper enrolled in Medicare?

Yes. James 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 James Cooper accept?

Health plans from Medica and UnitedHealthcare list James 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 James Cooper was last updated on November 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.