RONALD J COOPER MD
NPI 1396799615
Family Medicine in Waukesha, WI
About Ronald J Cooper Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RONALD J COOPER MD (NPI 1396799615) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (25226) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Medical College Of Wisconsin (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ronald J 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ronald Cooper reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Medical Group, Inc.
- 415 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 358 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIAspirus Medford Hospital & Clinics, Inc
Critical Access Hospitals · Medford, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WAUKESHA, WI 53188
WAUKESHA, WI 53188
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 Ronald Cooper's NPI number?
The NPI number for Ronald Cooper is 1396799615. It was assigned to this individual provider in the NPPES registry on May 20, 2006.
Where is Ronald Cooper located?
Ronald Cooper practices at 1111 Delafield St Suite 219, Waukesha, WI 53188. The listed phone number is (262) 951-8508.
What is Ronald Cooper's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ronald Cooper enrolled in Medicare?
Yes. Ronald 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.
Which organizations bill Medicare for Ronald Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Cooper reassigns Medicare benefits to 4 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Wausau Hospital, Inc. (Stevens Point, WI), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI) and The Howard Young Medical Center, Inc. (Woodruff, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ronald Cooper accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Ronald 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.
Is Ronald Cooper affiliated with any hospitals?
According to CMS data, Ronald Cooper is affiliated with Aspirus Wausau Hospital and Aspirus Medford Hospital & Clinics, Inc.
When was this NPI record last updated?
The NPPES record for Ronald Cooper was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.