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JAC ALAN COOPER SR. M.D.
NPI 1760487425
Surgery - Surgical Critical Care in Valparaiso, IN

Active since June 17, 2005
85 E US HIGHWAY 6 STE 240, VALPARAISO, IN 46383(219) 983-6240(219) 983-6040 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2020, Sep 10, 2020, Mar 13, 2019 and 2 more (5 updates tracked since 2018).

About Jac Alan Cooper Sr. M.d. NPPES

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

JAC ALAN COOPER SR. M.D. (NPI 1760487425) is an individual surgical critical care provider in Valparaiso, Indiana, licensed in Indiana (01035869A) and active in the NPI registry since June 2005. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760487425
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameJAC ALAN COOPER SR.Credential: M.D.
Location Address85 E US HIGHWAY 6 STE 240Valparaiso, IN 46383
Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 364-3616 · Fax (219) 364-3610
Phone(219) 983-6240
Fax(219) 983-6040
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateSeptember 14, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1760487425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in IN · 01035869A
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
85 E US HIGHWAY 6 STE 240, Valparaiso, IN 46383
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Secondary Practice Locations 2

Location 12000 Roosevelt Rd Ste 104Valparaiso, IN 46383-2801 · Phone (219) 983-6240 · Fax (219) 983-6040
Location 23630 Willowcreek Rd, Ste 3Portage, IN 46368-5075 · Phone (219) 759-4577 · Fax (219) 759-3564

Other Identifiers 2

Medicaid100207020IN
Other000000082449IN · Anthem

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
58%126 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%236 patients3/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
76%37 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,057 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
46%181 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%439 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 55 patients
85%55 patients4/55-star benchmark: 98%
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 3

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

DANIEL OWEN YOUNG MD
Colon & Rectal Surgery
85 E US HIGHWAY 6 STE 240
VALPARAISO, IN 46383
Porter County (219) 983-6240
ROLAND LINCOLN THOMAS M.D.
Surgery (Surgical Critical Care)
85 E US HIGHWAY 6 STE 240
VALPARAISO, IN 46383
Porter County (219) 983-6240
MICHAEL ALLEN NEMETH M.D.
Surgery (Surgical Critical Care)
85 E US HIGHWAY 6 STE 240
VALPARAISO, IN 46383
Porter County (219) 983-6240

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 Jac Cooper's NPI number?

The NPI number for Jac Cooper is 1760487425. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Jac Cooper located?

Jac Cooper practices at 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383. The listed phone number is (219) 983-6240.

What is Jac Cooper's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Jac Cooper was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.