DR. CHELSEA COOPER M.D.
NPI 1407389745
Dermatology in Red Bank, NJ

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
87.32/100
CMS Quality Rating
225 STATE ROUTE 35 STE 208, RED BANK, NJ 07701(732) 747-5500(732) 747-1212 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Chelsea Cooper M.d. NPPES

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

DR. CHELSEA COOPER M.D. (NPI 1407389745) is an individual dermatology provider in Red Bank, New Jersey, licensed in New Jersey (25MA11211800) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1407389745
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. CHELSEA COOPERCredential: M.D.
Location Address225 STATE ROUTE 35 STE 208Red Bank, NJ 07701-5919
Mailing Address225 State Route 35 Ste 208Red Bank, NJ 07701-5919 · (732) 747-5500 · Fax (732) 747-1212
Fax(732) 747-1212
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1407389745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MA11211800
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
225 STATE ROUTE 35 STE 208, Red Bank, NJ 07701

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

Dr. Chelsea Cooper 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 ID5395081053
PECOS Enrollment IDI20210831000088
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chelsea Cooper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
225 STATE ROUTE 35 STE 208
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 16 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 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.

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,121 services177 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.
473 services286 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
362 services245 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
352 services221 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
210 services114 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
127 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

87.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.64
Improvement Activities40

Reported Quality Measures

Advance Care Plan
16%387 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%77 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 87% · 382 patients
86%382 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 51% · 382 patients
Patients screened: 59% · 382 patients
34%47 patients
Tobacco Use and Help with Quitting Among Adolescents
99%143 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Dermatology
225 STATE ROUTE 35 STE 208
RED BANK, NJ 07701
Dermatology (Procedural Dermatology)
225 STATE ROUTE 35 STE 208
RED BANK, NJ 07701
Dermatology
225 STATE ROUTE 35 STE 208
RED BANK, NJ 07701

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 Chelsea Cooper's NPI number?

The NPI number for Chelsea Cooper is 1407389745. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Chelsea Cooper located?

Chelsea Cooper practices at 225 State Route 35 Ste 208, Red Bank, NJ 07701. The listed phone number is (732) 747-5500.

What is Chelsea Cooper's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Chelsea Cooper enrolled in Medicare?

Yes. Chelsea 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 Chelsea Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsea Cooper reassigns Medicare benefits to 2 organizations: Christopher B. Kruse, M.D., LLC (Red Bank, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). 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 Chelsea Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chelsea Cooper accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Chelsea 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 Chelsea Cooper was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.