KENNETH COOPER DO
NPI 1518166289
Surgery in Syracuse, NY
About Kenneth Cooper Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH COOPER DO (NPI 1518166289) is an individual surgery provider in Syracuse, New York, licensed in New York (244186) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kenneth Cooper Do 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
2Medicare enrollment records show Kenneth Cooper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 159 clinicians in this Medicare group
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 70 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crouse Hospital
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
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.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
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 Kenneth Cooper's NPI number?
The NPI number for Kenneth Cooper is 1518166289. It was assigned to this individual provider in the NPPES registry on July 13, 2007.
Where is Kenneth Cooper located?
Kenneth Cooper practices at 739 Irving Ave Suite 450, Syracuse, NY 13210. The listed phone number is (315) 470-7364.
What is Kenneth Cooper's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kenneth Cooper enrolled in Medicare?
Yes. Kenneth 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 Kenneth Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Cooper reassigns Medicare benefits to 2 organizations: Crouse Medical Practice, PLLC (Syracuse, NY) and Physician Care PC (Oswego, NY). 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 Kenneth Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Cooper affiliated with any hospitals?
According to CMS data, Kenneth Cooper is affiliated with Crouse Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Cooper was last updated on April 9, 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.
# Kenneth Cooper, DO · NPI 1518166289
Surgery physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 13, 2007.
## Identity
- **NPI:** 1518166289 (Entity type: Individual)
- **Enumerated:** July 13, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 244186 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 739 IRVING AVE, SUITE 450, Syracuse, NY 13210-1651
- **Phone:** (315) 470-7364 · **Fax:** (315) 470-5859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Crouse Medical Practice, PLLC (NPI 1922321934, Syracuse, NY); Physician Care PC (NPI 1073868113, Oswego, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2002
## Record status
- **NPPES last updated:** April 9, 2021
- **Other identifiers:** Medicaid 02901417 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1518166289) · Data from the CMS NPPES public registry.