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DR. RAPHAEL M COOPER M.D.
NPI 1811989890
Urology in Kensington, CT

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
279 NEW BRITAIN RD, KENSINGTON, CT 06037(860) 828-9700(860) 828-9737 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raphael M Cooper M.d. NPPES

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

DR. RAPHAEL M COOPER M.D. (NPI 1811989890) is an individual urology provider in Kensington, Connecticut, licensed in Connecticut (027530) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1984).

NPPES Registry Identity

NPI1811989890
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RAPHAEL M COOPERCredential: M.D.
Location Address279 NEW BRITAIN RDKensington, CT 06037-1353
Mailing Address279 New Britain RdKensington, CT 06037-1353 · (860) 828-9700 · Fax (860) 828-9737
Phone(860) 828-9700
Fax(860) 828-9737
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1984
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1811989890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CT · 027530
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.
279 NEW BRITAIN RD, Kensington, CT 06037
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Other Identifiers 3

Medicare UPINE48411CT
Medicare ID-Type Unspecified340000382CT
Medicaid001275305CT

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. Raphael M Cooper M.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 ID8921044827
PECOS Enrollment IDI20050630000651
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 12

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
707 services517 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
705 services514 patients
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.
656 services523 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.
70 services70 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
64 services14 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.
49 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06037 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,587 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
35%20 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
83%843 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%2,012 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
15%2,012 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%2,012 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers16 claims1,096 services$4.12 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$6.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

LAURA BERGLASS
Nurse Practitioner
279 NEW BRITAIN RD
BERLIN, CT 06037
Capitol Planning Region (860) 438-7096
PATRICK ROCCO, M.D., LLC
Specialist
279 NEW BRITAIN RD, #10
KENSINGTON, CT 06037
Capitol Planning Region (860) 829-5225
CENTER FOR UROLOGY CARE
Urology
279 NEW BRITAIN RD
KENSINGTON, CT 06037
Capitol Planning Region (860) 828-9700
KATHLEEN X TAYLOR LPC
Behavior Analyst
279 NEW BRITAIN RD
BERLIN, CT 06037
Capitol Planning Region (860) 827-9364
EUGENE M. CICCONE M.D.
Internal Medicine (Infectious Disease)
279 NEW BRITAIN RD
KENSINGTON, CT 06037
Capitol Planning Region (860) 223-3331
KIMBERLY BRUNNOCK OT/R
Occupational Therapist
279 NEW BRITAIN RD, SUITE 9
BERLIN, CT 06037
Capitol Planning Region (860) 827-9364

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 Raphael Cooper's NPI number?

The NPI number for Raphael Cooper is 1811989890. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Raphael Cooper located?

Raphael Cooper practices at 279 New Britain Rd, Kensington, CT 06037. The listed phone number is (860) 828-9700.

What is Raphael Cooper's specialty?

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

Is Raphael Cooper enrolled in Medicare?

Yes. Raphael 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.

When was this NPI record last updated?

The NPPES record for Raphael Cooper was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.