KELLY CORR COOPER MD
NPI 1356509368
Preventive Medicine - Addiction Medicine in Louisville, KY

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216(502) 449-6464 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Oct 13, 2020, Sep 30, 2020 and 2 more (5 updates tracked since 2018).

About Kelly Corr Cooper Md NPPES

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

KELLY CORR COOPER MD (NPI 1356509368) is an individual addiction medicine provider in Louisville, Kentucky, licensed in Kentucky (53370) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2008).

NPPES Registry Identity

NPI1356509368
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameKELLY CORR COOPERCredential: MD
Location Address4420 DIXIE HWY STE 110Louisville, KY 40216-2986
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2008
Enumeration DateMay 27, 2008
Last NPPES UpdateFebruary 6, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1356509368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License Licensed in KY · 53370
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
4420 DIXIE HWY STE 110, Louisville, KY 40216

Other Names 1

Former Name (1)Kelly Corr Cooper Md

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

Kelly Corr 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 ID6901124601
PECOS Enrollment IDI20200401000178
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

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.

Dentist
4420 DIXIE HWY STE 110
SHIVELY, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (Prosthodontics)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216

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 Kelly Cooper's NPI number?

The NPI number for Kelly Cooper is 1356509368. It was assigned to this individual provider in the NPPES registry on May 27, 2008. The provider is also known as Kelly Corr Cooper MD.

Where is Kelly Cooper located?

Kelly Cooper practices at 4420 Dixie Hwy Ste 110, Louisville, KY 40216. The listed phone number is (502) 449-6464.

What is Kelly Cooper's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Kelly Cooper enrolled in Medicare?

Yes. Kelly 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 Kelly Cooper accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kelly 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 Kelly Cooper was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.