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DR. WANTZY COOPER D.O.
NPI 1942383393
Surgery - Vascular Surgery in Needles, CA

Active since October 21, 2006PECOS EnrolledAccepts Medicare Assignment
1401 BAILEY AVE, BLDG 1, NEEDLES, CA 92363(760) 590-0155(760) 323-7134 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, May 6, 2020, Feb 19, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Wantzy Cooper D.o. NPPES

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

DR. WANTZY COOPER D.O. (NPI 1942383393) is an individual vascular surgery provider in Needles, California, licensed in Arizona (005530) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1996).

NPPES Registry Identity

NPI1942383393
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. WANTZY COOPERCredential: D.O.
Location Address1401 BAILEY AVE, BLDG 1Needles, CA 92363-3103
Mailing AddressPo Box 9893Fort Mohave, AZ 86427-9893 · (760) 590-0155 · Fax (760) 323-7134
Phone(760) 590-0155
Fax(760) 323-7134
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1996
Enumeration DateOctober 21, 2006
Last NPPES UpdateApril 8, 20244 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1942383393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in AZ · 005530✔ Licensed in CA · 14611
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 14611 (CA)
Also ListedSurgeryTaxonomy 208600000X · License MB74255 (NJ)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 14611 (CA), 005530 (AZ)
1401 BAILEY AVE, Needles, CA 92363
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Other Identifiers 1

Medicaid585877AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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. Wantzy Cooper D.o. 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 ID6002815214
PECOS Enrollment IDI20160722001103
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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services77 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.
52 services16 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
44 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92363 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

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 suppliers14 claims14 services$118.59 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 13

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

TRISTATE AMBULATORY SURGERY CENTER
General Acute Care Hospital (Critical Access)
1401 BAILEY AVE, BUILDING A
NEEDLES, CA 92363
San Bernardino County (760) 326-7160
PRINCIPAL-NEEDLES INC
General Acute Care Hospital (Critical Access)
1401 BAILEY AVE
NEEDLES, CA 92363
San Bernardino County (760) 326-4531
COMMUNITY HEALTHCARE PARTNER, INC.
General Acute Care Hospital (Critical Access)
1401 BAILEY AVE
NEEDLES, CA 92363
San Bernardino County (760) 326-7160
GILBERT ALMARAZ MD INC
Anesthesiology (Pain Medicine)
1401 BAILEY AVE
NEEDLES, CA 92363
San Bernardino County (760) 326-4531
DR. BRAD CLAYTON BARTH M.D.
Anesthesiology
1401 BAILEY AVE
NEEDLES, CA 92363
San Bernardino County (760) 326-7141
KARL UDALVE TABORA
Nurse Practitioner (Family)
1401 BAILEY AVE
NEEDLES, CA 92363
San Bernardino County (916) 831-0782
MS. KNAYA CORAZON TABORA I RN
Registered Nurse (Administrator)
1401 BAILEY AVE, MODULAR OFFICE BUILDING
NEEDLES, CA 92363
San Bernardino County (760) 326-7100
DR. IAN ANTHONY BUTLER D.O.
Emergency Medicine
1401 BAILEY AVE
NEEDLES, CA 92363
San Bernardino County (760) 326-7100

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 Wantzy Cooper's NPI number?

The NPI number for Wantzy Cooper is 1942383393. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Wantzy Cooper located?

Wantzy Cooper practices at 1401 Bailey Ave Bldg 1, Needles, CA 92363. The listed phone number is (760) 590-0155.

What is Wantzy Cooper's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Wantzy Cooper enrolled in Medicare?

Yes. Wantzy 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 Wantzy Cooper accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Wantzy 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.

When was this NPI record last updated?

The NPPES record for Wantzy Cooper was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.