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

Q: 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.

Q: What is Cooper Gundry's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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

Phone(952) 541-1840

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

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Other Identifiers 3

Medicare UPINE24136

Medicare ID-Type Unspecified300000443MN

Medicaid280202500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource and more.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

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.

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

Quality

Improvement Activities

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.

GINA RUTH FIGI PASEKA P.A.

Physician Assistant

5775 WAYZATA BOULEVARD, SUITE 150
ST. LOUIS PARK, MN 55416

Hennepin County (952) 738-4488

THOMAS J GILBERT JR. MD

Radiology (Diagnostic Radiology)