CRYSTAL COOPER MD
NPI 1689103798
Family Medicine in Saint Clair Shores, MI

Q: What is Crystal Cooper's NPI number?

The NPI number for Crystal Cooper is 1689103798. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Crystal Cooper's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Cooper was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 12, 2017PECOS EnrolledAccepts Medicare Assignment

24911 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48080(586) 777-2050(586) 777-2189 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Nov 5, 2020, Jun 12, 2017 (3 updates tracked since 2017).

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About Crystal Cooper Md NPPES

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

CRYSTAL COOPER MD (NPI 1689103798) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (EMC0001216) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689103798

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCRYSTAL COOPERCredential: MD

Location Address24911 LITTLE MACK AVE STE CSaint Clair Shores, MI 48080-3200

Mailing Address24911 Little Mack Ave Ste CSaint Clair Shores, MI 48080-3200 · (586) 777-2050 · Fax (586) 777-2189

Phone(586) 777-2050

Fax(586) 777-2189

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 12, 2017

Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2022

✔ NPI 1689103798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · EMC0001216✔ Licensed in MI · 4301112029

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036153220 (IL)

24911 LITTLE MACK AVE STE C, Saint Clair Shores, MI 48080

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Crystal Cooper 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 ID2264700947

PECOS Enrollment IDI20220124001083

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 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.

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.

50 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services38 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. VANESSA TAN DO, MBA

Student in an Organized Health Care Education/Training Program