DR. PAUL A COONEY DO
NPI 1821074931
Family Medicine in Barbourville, KY

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
215 N ALLISON AVE, BARBOURVILLE, KY 40906(606) 546-9287(606) 546-9363 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul A Cooney Do NPPES

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

DR. PAUL A COONEY DO (NPI 1821074931) is an individual family medicine provider in Barbourville, Kentucky, licensed in Kentucky (02656) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1999).

NPPES Registry Identity

NPI1821074931
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL A COONEYCredential: DO
Location Address215 N ALLISON AVEBarbourville, KY 40906-1336
Mailing AddressPo Box 1150Barbourville, KY 40906-5150 · (606) 546-9287 · Fax (606) 546-9363
Fax(606) 546-9363
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1999
Enumeration DateDecember 20, 2005
Last NPPES UpdateMarch 22, 2010
NPI 1821074931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 02656
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
215 N ALLISON AVE, Barbourville, KY 40906

Other Identifiers 3

Medicare ID-Type Unspecified1388011KY
Medicare UPINH27365KY
Medicaid64022270KY

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. Paul A Cooney Do 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 ID7315012853
PECOS Enrollment IDI20080819000410
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 2

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims60 services$6.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims27 services$1.01 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$82.41 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 20

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

Physician Assistant
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Physician Assistant
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Pediatrics
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Nurse Practitioner
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Nurse Practitioner
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Family Medicine
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Optometrist
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Counselor (Professional)
215 N ALLISON AVE
BARBOURVILLE, KY 40906

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 Paul Cooney's NPI number?

The NPI number for Paul Cooney is 1821074931. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Paul Cooney located?

Paul Cooney practices at 215 N Allison Ave, Barbourville, KY 40906. The listed phone number is (606) 546-9287.

What is Paul Cooney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Cooney enrolled in Medicare?

Yes. Paul Cooney 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 Paul Cooney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Paul Cooney 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 Paul Cooney affiliated with any hospitals?

According to CMS data, Paul Cooney is affiliated with Baptist Health Corbin and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Paul Cooney was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.