COOPER R GUNDRY MD
NPI 1659348431
Radiology - Diagnostic Radiology in St Louis Park, MN

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
75.81/100
CMS Quality Rating
5775 WAYZATA BOULEVARD, SUITE 190, ST LOUIS PARK, MN 55416(952) 541-1840(952) 513-6880 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cooper R Gundry Md NPPES

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

COOPER R GUNDRY MD (NPI 1659348431) is an individual diagnostic radiology provider in St Louis Park, Minnesota, licensed in Minnesota (33771) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1659348431
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCOOPER R GUNDRYCredential: MD
Location Address5775 WAYZATA BOULEVARD, SUITE 190St Louis Park, MN 55416
Mailing AddressPo Box 1450 Nw6035Minneapolis, MN 55485-6035 · (952) 542-8553 · Fax (952) 513-6880
Fax(952) 513-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 1, 2006
Last NPPES UpdateFebruary 17, 2012
✔ NPI 1659348431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MN · 33771
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5775 WAYZATA BOULEVARD, St Louis Park, MN 55416

Other Identifiers 3

Medicare UPINE24136
Medicare ID-Type Unspecified300000443MN
Medicaid280202500MN

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

Cooper R Gundry 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 ID9830092246
PECOS Enrollment IDI20100923000127, I20230907003549, I20250829002521, I20251015002499, I20251021000338
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

9

Medicare enrollment records show Cooper Gundry reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
446 E ONTARIO ST STE 106
Chicago, IL 60611
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
Diagnostic Radiology
27101 E OVIATT RD STE 3
Bay Village, OH 44140
  • Reassigned Medicare billing, Florida, Iowa and Illinois enrollments
  • 12 clinicians in this Medicare group
Diagnostic Radiology
29001 CEDAR RD, STE 100
Lyndhurst, OH 44124
  • Reassigned Medicare billing, Arizona enrollment
Diagnostic Radiology
170 E 77TH ST LOWR LEVEL
New York, NY 10075
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
Orthopaedic Surgery
6 GREENWICH OFFICE PARK
Greenwich, CT 06831
  • Reassigned Medicare billing, New York enrollment
  • 145 clinicians in this Medicare group
Diagnostic Radiology
6740 E CAMELBACK RD STE 100
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Texas enrollment
  • 57 clinicians in this Medicare group
Diagnostic Radiology
14302 BRUCE B DOWNS BLVD
Tampa, FL 33613
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
Specialist
9095 RIO SAN DIEGO DR STE 450
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 85 clinicians in this Medicare group
Diagnostic Radiology
105 SOUTH DR STE 110
Mountain View, CA 94040
  • Reassigned Medicare billing, Texas enrollment
  • 16 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 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.

Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
221 services205 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
188 services174 patients
Mri scan of leg without contrast 73718
An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

75.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant
5775 WAYZATA BOULEVARD, SUITE 150
ST. LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Clinic/Center (Ambulatory Surgical)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Nurse Practitioner (Adult Health)
5775 WAYZATA BOULEVARD, SUITE 600
SAINT LOUIS PARK, MN 55416
Radiology (Vascular & Interventional Radiology)
5775 WAYZATA BOULEVARD, SUITE 140
ST. LOUIS PARK, MN 55416

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 Cooper Gundry's NPI number?

The NPI number for Cooper Gundry is 1659348431. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Cooper Gundry located?

Cooper Gundry practices at 5775 Wayzata Boulevard Suite 190, St Louis Park, MN 55416. The listed phone number is (952) 541-1840.

What is Cooper Gundry's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Cooper Gundry enrolled in Medicare?

Yes. Cooper Gundry 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 Cooper Gundry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cooper Gundry reassigns Medicare benefits to 9 organizations: Howard Simon MD PLLC (Chicago, IL), All-American Teleradiology LLC (Bay Village, OH), Network Imaging Associates, LLC (Lyndhurst, OH), Howard John Simon MD PC (New York, NY), Orthopaedic & Neurosurgery Specialists, PLLC (Greenwich, CT) and 4 more organizations, listed in the Medicare section above. 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 Cooper Gundry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cooper Gundry accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona, CareSource and Wellmark Health Plan of Iowa, Inc. list Cooper Gundry 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 Cooper Gundry was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.