KATHARINE R COOPER M.D. NPI 1821057845

Obstetrics & Gynecology (Gynecology) in Alexander City, AL

NPI 1821057845 Individual Female Years of Experience 32 Obstetrics & Gynecology Gynecology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting CLIA Number 01D0977686 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About KATHARINE COOPER

Katharine Cooper is a women's health care provider established in Alexander City, Alabama and her medical specialization is obstetrics & gynecology (gynecology) with more than 32 years of experience. She graduated from University Of Alabama School Of Medicine in 1990. The NPI number of Katharine Cooper is 1821057845 and was assigned on March 2006. The practitioner's primary taxonomy code is 207VG0400X with license number 18123 (AL). The provider is registered as an individual and her NPI record was last updated 13 years ago.

Women's health care providers like Katharine R Cooper M.d. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Katharine Cooper is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Katharine Cooper is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Russell Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, cervical cancer screening, chronic care and preventative care management for empaneled patients, e-prescribing exclusion, health information exchange exclusion, immunization registry reporting, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, specialized registry reporting, specialized registry reporting for multiple registry engagement, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The CLIA number of Katharine R Cooper M.d. is 01D0977686 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Katharine R Cooper M.d. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1821057845

Provider Name KATHARINE R COOPER M.D.
Provider Location Address3368 HIGHWAY 280 SUITE 205 ALEXANDER CITY, AL 35010
Provider Mailing Address3368 HIGHWAY 280 SUITE 205 ALEXANDER CITY, AL 35010
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1990
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-20-2006
Last Update Date11-10-2008


Primary Taxonomy

Taxonomy Code207VG0400X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationGynecology
License No.18123
License StateAL

Business Address

KATHARINE R COOPER M.D.
3368 HIGHWAY 280
SUITE 205
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 234-2464
Fax: (256) 234-2440

Get Directions


Mailing Address

KATHARINE R COOPER M.D.
3368 HIGHWAY 280
SUITE 205
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 234-2464
Fax: (256) 234-2440



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7618039116
PECOS Enrollment IDI20081217000374
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 54Urinalysis, manual test (HCPCS:81002)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Breast Cancer Screening 86% 675
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Cervical Cancer Screening 97% 660
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years
Medication Reconciliation 100% 249
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.
Patient-Specific Education 84% 1265
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.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 88% 1236
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 998
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
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 998
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
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 25% 60
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
Provide Patient Access 68% 1265
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 certain information.
Secure Messaging 49% 1265
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 message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 26% 1265
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Katharine Cooper is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RUSSELL MEDICAL CENTER3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100Acute Care Hospitals10065

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1821057845 is:

CLIA Number01D0977686
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
631257919OTHER (01)AL
000098417MEDICARE ID-TYPE UNSPECIFIED (04)AL
631257919OTHER (01)AL
631257919OTHER (01)AL
F88330MEDICARE UPIN (02)AL
009937370MEDICAID (05)AL
98417OTHER (01)AL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467442715DR. ADELAIDE M. BROWN PH.D.
Individual
Psychologist (Clinical)3368 HIGHWAY 280 SUITE G20
ALEXANDER CITY, AL 35010
(256) 329-2626
1972594265KATHARINE R. COOPER, M.D., P.C.
Organization
Specialist3368 HIGHWAY 280 SUITE 205
ALEXANDER CITY, AL 35010
(256) 234-2464
1427006717 MARK REID TUCKER M.D.
Individual
Ophthalmology3368 HIGHWAY 280 SUITE 215
ALEXANDER CITY, AL 35010
(256) 329-9064
1942250022DR. JAMES ROBERT NOBLES JR. O.D.
Individual
Optometrist3368 HIGHWAY 280
ALEX CITY, AL 35010
(256) 329-9064
1538268685EYE ASSOCIATES PC
Organization
Ophthalmology3368 HIGHWAY 280 SUITE 215
ALEXANDER CITY, AL 35010
(256) 329-9064
1366530578BONE & JOINT SPECIALISTS, P.C.
Organization
Orthopaedic Surgery3368 HIGHWAY 280 SUITE 116
ALEXANDER CITY, AL 35010
(256) 329-9133
1225102833 MICHELE GOLDHAGEN MD
Individual
Emergency Medicine3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7134
1598839037 SHIRLEY LAZENBY MD
Individual
Emergency Medicine3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7134
1487728903 RALPH HAMM JR. NP
Individual
Nurse Practitioner3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7134
1578621736CARDIOLOGY OF CENTRAL ALABAMA, P.C.
Organization
Internal Medicine (Cardiovascular Disease)3368 HIGHWAY 280 SUITE 130
ALEXANDER CITY, AL 35010
(256) 234-2644
1538295241CENTRAL ALABAMA GASTROENTEROLOGY,PC
Organization
Internal Medicine (Gastroenterology)3368 HIGHWAY 280 SUITE 214
ALEXANDER CITY, AL 35010
(256) 329-2829
1407054620SA CASSIDY MD PC
Organization
Surgery3368 HIGHWAY 280 SUITE 207
ALEXANDER CITY, AL 35010
(256) 215-3490
1013117936BARBARA A. MICHNA M.D.
Organization
Surgery3368 HIGHWAY 280 PROFESSIONAL BUILING SUITE 218
ALEXANDER CITY, AL 35010
(256) 215-5501
1316120884MEDICAL PARK OPTICAL INC.
Organization
Eyewear Supplier3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-8646
1780853697OBGYN ASSOCIATES
Organization
Obstetrics & Gynecology3368 HIGHWAY 280 SUITE 111
ALEXANDER CITY, AL 35010
(256) 234-3477
1992976245O. GORDON ROBINSON,JR.,MD, PC
Organization
Plastic Surgery3368 HIGHWAY 280 SUITE 200
ALEXANDER CITY, AL 35010
(256) 329-2197
1255587648MRS. LORI G. MCCOLLUM M.C.D., CCC-A
Individual
Audiologist3368 HIGHWAY 280 SUITE G-15
ALEXANDER CITY, AL 35010
(256) 329-1114
1710137575SOUTHERN HEAD & NECK SURGERY
Organization
Otolaryngology (Otolaryngic Allergy)3368 HIGHWAY 280 SUITE G-15
ALEXANDER CITY, AL 35010
(256) 329-1114
1982844460 SHELLEY MARIE MOORE NP-C
Individual
Nurse Practitioner (Family)3368 HIGHWAY 280 SUITE 107
ALEXANDER CITY, AL 35010
(256) 212-9300
1023258076EDWARD P. HILL, IV, MD
Organization
Internal Medicine3368 HIGHWAY 280 SUITE 120
ALEXANDER CITY, AL 35010
(256) 234-3007

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.