DOUGLAS JUSTIN COOPER DPM
NPI 1851957609
Podiatrist - Foot Surgery in Lexington, SC

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
121 PARK PLACE CT, LEXINGTON, SC 29072(803) 356-4712 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Justin Cooper Dpm NPPES

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

DOUGLAS JUSTIN COOPER DPM (NPI 1851957609) is an individual foot surgery provider in Lexington, South Carolina, licensed in Minnesota (741) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1851957609
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDOUGLAS JUSTIN COOPERCredential: DPM
Location Address121 PARK PLACE CTLexington, SC 29072-6690
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 791-2000
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2019
Enumeration DateMay 17, 2019
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1851957609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in MN · 741
Also ListedAssistant, PodiatricTaxonomy 211D00000X
121 PARK PLACE CT, Lexington, SC 29072

Secondary Practice Location 1

Location 13601 S 6th AveTucson, AZ 85723-0001 · Phone (520) 629-1836

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

Douglas Justin Cooper Dpm 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 ID3375920283
PECOS Enrollment IDI20220516001131
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 16

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
472 services89 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.
456 services273 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
236 services52 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.
205 services205 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
187 services141 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.
150 services150 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 5

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

Podiatrist (Foot Surgery)
121 PARK PLACE CT
LEXINGTON, SC 29072
Podiatrist
121 PARK PLACE CT
LEXINGTON, SC 29072
Podiatrist (Foot Surgery)
121 PARK PLACE CT
LEXINGTON, SC 29072
Podiatrist (Primary Podiatric Medicine)
121 PARK PLACE CT
LEXINGTON, SC 29072
Podiatrist
121 PARK PLACE CT
LEXINGTON, SC 29072

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 Douglas Cooper's NPI number?

The NPI number for Douglas Cooper is 1851957609. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Douglas Cooper located?

Douglas Cooper practices at 121 Park Place Ct, Lexington, SC 29072. The listed phone number is (803) 356-4712.

What is Douglas Cooper's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Douglas Cooper enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Cooper accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Douglas Cooper 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 Douglas Cooper affiliated with any hospitals?

According to CMS data, Douglas Cooper is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Cooper was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.