KENYA A COOPER MD
NPI 1891108775
Family Medicine in Gilbert, SC

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
4080 AUGUSTA HWY, GILBERT, SC 29054(803) 892-1800(803) 892-1812 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2020, Sep 29, 2020, Aug 11, 2020 (3 updates tracked since 2020).

About Kenya A Cooper Md NPPES

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

KENYA A COOPER MD (NPI 1891108775) is an individual family medicine provider in Gilbert, South Carolina, licensed in South Carolina (37053) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Boston University School Of Medicine (2014).

NPPES Registry Identity

NPI1891108775
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKENYA A COOPERCredential: MD
Location Address4080 AUGUSTA HWYGilbert, SC 29054-8893
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 892-1812
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2014
Enumeration DateJune 9, 2014
Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1891108775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 37053
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.
4080 AUGUSTA HWY, Gilbert, SC 29054

Other Names 1

Former Name (1)Kenya Goins

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

Kenya A Cooper Md 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 ID5496068322
PECOS Enrollment IDI20150721000993
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 26

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
595 services276 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.
463 services253 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.
455 services227 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
295 services230 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
228 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29054 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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

Referred Medical Equipment & Supplies CMS DME claims

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
7 suppliers27 claims49 services$6.69 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 4

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

Family Medicine
4080 AUGUSTA HWY
GILBERT, SC 29054
Family Medicine
4080 AUGUSTA HWY
GILBERT, SC 29054
Family Medicine
4080 AUGUSTA HWY
GILBERT, SC 29054
Family Medicine
4080 AUGUSTA HWY
GILBERT, SC 29054

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 Kenya Cooper's NPI number?

The NPI number for Kenya Cooper is 1891108775. It was assigned to this individual provider in the NPPES registry on June 9, 2014. The provider is also known as Kenya Goins.

Where is Kenya Cooper located?

Kenya Cooper practices at 4080 Augusta Hwy, Gilbert, SC 29054. The listed phone number is (803) 892-1800.

What is Kenya Cooper's specialty?

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

Is Kenya Cooper enrolled in Medicare?

Yes. Kenya 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 Kenya Cooper accept?

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

According to CMS data, Kenya Cooper is affiliated with Lexington Medical Center and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Kenya Cooper was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.