DR. CALVIN MICHAEL COOPER M.D.
NPI 1609169457
Neurological Surgery in Austin, TX

Active since May 25, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4101 JAMES CASEY ST STE 340, AUSTIN, TX 78745(512) 306-1323(512) 306-1142 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, Jul 6, 2018 (2 updates tracked since 2018).

About Dr. Calvin Michael Cooper M.d. NPPES

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

DR. CALVIN MICHAEL COOPER M.D. (NPI 1609169457) is an individual neurological surgery provider in Austin, Texas, licensed in Texas (R6540) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609169457
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. CALVIN MICHAEL COOPERCredential: M.D.
Location Address4101 JAMES CASEY ST STE 340Austin, TX 78745-1145
Mailing Address98 San Jacinto Blvd Ste 1800Austin, TX 78701-4237 · (512) 708-9700 · Fax (512) 410-2942
Fax(512) 306-1142
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2011
Enumeration DateMay 25, 2011
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPI 1609169457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · R6540
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

4101 JAMES CASEY ST STE 340, Austin, TX 78745

Secondary Practice Locations 2

Location 11211 Medical Center Dr, T-4224 Medical Center NorthNashville, TN 37232-2780 · Phone (615) 343-2452
Location 2801 W 38th St Ste 400Austin, TX 78705-1103 · Phone (512) 306-1323 · Fax (512) 306-1142

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

Dr. Calvin Michael 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 ID8729381488
PECOS Enrollment IDI20181113000158
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 3

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 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.
108 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
61 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
98%145 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%166 patients5/55-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

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
4101 JAMES CASEY ST STE 340
AUSTIN, TX 78745

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 Calvin Cooper's NPI number?

The NPI number for Calvin Cooper is 1609169457. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Calvin Cooper located?

Calvin Cooper practices at 4101 James Casey St Ste 340, Austin, TX 78745. The listed phone number is (512) 306-1323.

What is Calvin Cooper's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Calvin Cooper enrolled in Medicare?

Yes. Calvin 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 Calvin Cooper accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Calvin 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 Calvin Cooper affiliated with any hospitals?

According to CMS data, Calvin Cooper is affiliated with St David's Medical Center, St David's South Austin Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Calvin Cooper was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.