ROY COOPER
NPI 1801288170
Urology in Erie, PA

Q: What is Roy Cooper's NPI number?

The NPI number for Roy Cooper is 1801288170. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Q: What is Roy Cooper's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Roy Cooper was last updated on May 24, 2021. 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.

Active since February 24, 2015PECOS EnrolledAccepts Medicare Assignment

79.55/100

CMS Quality Rating

100 PEACH ST STE 102, SUITE 102, ERIE, PA 16507(814) 877-5700 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2021, Sep 15, 2020 (2 updates tracked since 2020).

On this page

About Roy Cooper NPPES

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

ROY COOPER (NPI 1801288170) is an individual urology provider in Erie, Pennsylvania, licensed in Pennsylvania (OS020735) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1801288170

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameROY COOPER

Location Address100 PEACH ST STE 102, SUITE 102Erie, PA 16507-1423

Mailing Address100 Peach St Ste 102, Suite 102Erie, PA 16507-1423

Phone(814) 877-5700

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015

Enumeration DateFebruary 24, 2015

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2020

✔ NPI 1801288170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in PA · OS020735

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

100 PEACH ST STE 102, Erie, PA 16507

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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

Roy Cooper 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 ID2163723305

PECOS Enrollment IDI20200917001934

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 Reassignment

Medicare enrollment records show Roy Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Health Services Inc

0.1 mi

Family Medicine

201 STATE ST
Erie, PA 16550

Reassigned Medicare billing, Pennsylvania enrollment
962 clinicians in this Medicare group

NPI 1174520654 (814) 877-8140

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 13

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.

143 services114 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

78 services65 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.

61 services58 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

57 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

35 services32 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

33 services26 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

30 services25 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

12 services12 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330239

Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County

Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390113

Location751 Liberty StreetMeadville, PA 16335 · Crawford County

Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391313

Location1001 East Second StreetCoudersport, PA 16915 · Potter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

79.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.36

Promoting Interoperability

100

Improvement Activities

Cost

67.48

Other Providers at the Same Location NPPES 8

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

TRISHA LYNN LABRUZZO CRNP

Nurse Practitioner

100 PEACH ST STE 102
ERIE, PA 16507

Erie County (814) 877-5700

ASHLEY DANIELLE KOZIARSKI PA-C

Physician Assistant

100 PEACH ST STE 102
ERIE, PA 16507

Erie County (814) 877-5700

MICHAEL MILLER

Urology

100 PEACH ST STE 102, SUITE 102
ERIE, PA 16507

Erie County (814) 877-5700

VICTORIA JOAN BERLIN PA-C

Physician Assistant

100 PEACH ST STE 102
ERIE, PA 16507

Erie County (814) 877-5700

ISABELLA LUCY EHRENSBERGER PA-C

Physician Assistant

100 PEACH ST STE 102
ERIE, PA 16507

Erie County (814) 877-5700

LAUREN NICOLE ELDER PA-C

Physician Assistant

100 PEACH ST STE 102
ERIE, PA 16507

Erie County (814) 877-5700

MR. CALEB R HATCH PA-C

Physician Assistant

100 PEACH ST STE 102
ERIE, PA 16507

Erie County (814) 877-5700

ABBEY SENGER

Physician Assistant

100 PEACH ST STE 102, SUITE 102
ERIE, PA 16507

Erie County (814) 877-5700

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 Roy Cooper's NPI number?

The NPI number for Roy Cooper is 1801288170. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Roy Cooper located?

Roy Cooper practices at 100 Peach St Ste 102 Suite 102, Erie, PA 16507. The listed phone number is (814) 877-5700.

What is Roy Cooper's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Roy Cooper enrolled in Medicare?

Yes. Roy Cooper 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 organization bills Medicare for Roy Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Cooper reassigns Medicare benefits to Regional Health Services Inc (Erie, PA). The 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 Roy Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Roy Cooper affiliated with any hospitals?

According to CMS data, Roy Cooper is affiliated with Upmc Chautauqua At Wca, Upmc Hamot, Meadville Medical Center and Upmc Cole.

When was this NPI record last updated?

The NPPES record for Roy Cooper was last updated on May 24, 2021. 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.