DR. COOPER BUFKIN MOORE PSY.D.
NPI 1710011150
Psychologist - Clinical in Jackson, MS

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
1151 N STATE ST STE 212, JACKSON, MS 39202(601) 352-7398(601) 352-0442 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cooper Bufkin Moore Psy.d. NPPES

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

DR. COOPER BUFKIN MOORE PSY.D. (NPI 1710011150) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (44 715) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1710011150
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. COOPER BUFKIN MOORECredential: PSY.D.
Location Address1151 N STATE ST STE 212Jackson, MS 39202-2467
Mailing Address1151 N State St Ste 212Jackson, MS 39202-2467
Fax(601) 352-0442
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710011150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MS · 44 715
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1151 N STATE ST STE 212, Jackson, MS 39202

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. Cooper Bufkin Moore Psy.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 ID8325579238
PECOS Enrollment IDI20241002003973
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.

Hospital Affiliations CMS Care Compare

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

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$159.18 typical visit price
range $51.65 – $159.18
Typical copayment $39.79 (range $12.91 – $39.79)
Most-billed visit code 99205
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 5

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

Counselor (Professional)
1151 N STATE ST STE 212
JACKSON, MS 39202
Counselor (Mental Health)
1151 N STATE ST STE 212
JACKSON, MS 39202
Psychologist (Clinical)
1151 N STATE ST STE 212
JACKSON, MS 39202
Psychologist (Clinical)
1151 N STATE ST STE 212
JACKSON, MS 39202
Counselor (Professional)
1151 N STATE ST STE 212
JACKSON, MS 39202

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 Moore's NPI number?

The NPI number for Cooper Moore is 1710011150. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Cooper Moore located?

Cooper Moore practices at 1151 N State St Ste 212, Jackson, MS 39202. The listed phone number is (601) 352-7398.

What is Cooper Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Cooper Moore enrolled in Medicare?

Yes. Cooper Moore 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 Cooper Moore accept?

Health plans from Blue Cross Blue Shield of Wyoming list Cooper Moore 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 Cooper Moore affiliated with any hospitals?

According to CMS data, Cooper Moore is affiliated with St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Cooper Moore was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.