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DR. ROBERT J COOPER M.D.
NPI 1992739726
Internal Medicine - Endocrinology, Diabetes & Metabolism in Holyoke, MA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
10 HOSPITAL DR STE 104, HOLYOKE, MA 01040(413) 534-2820 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2019, Dec 2, 2015 (2 updates tracked since 2015).

About Dr. Robert J Cooper M.d. NPPES

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

DR. ROBERT J COOPER M.D. (NPI 1992739726) is an individual endocrinology, diabetes & metabolism provider in Holyoke, Massachusetts, licensed in Massachusetts (204180) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992739726
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ROBERT J COOPERCredential: M.D.
Location Address10 HOSPITAL DR STE 104Holyoke, MA 01040-6603
Mailing Address20 Cherry LnLongmeadow, MA 01106-1608 · (413) 387-5971
Phone(413) 534-2820
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1992
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 28, 20242 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
✔ NPI 1992739726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MA · 204180✔ Licensed in WI · 71829
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
10 HOSPITAL DR STE 104, Holyoke, MA 01040
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Secondary Practice Locations 2

Location 141 Mall RdBurlington, MA 01805-1112 · Phone (781) 744-8000
Location 23300 Main St, Suite 3A & 3BSpringfield, MA 01107-1112 · Phone (413) 794-7031 · Fax (413) 794-7133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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. Robert J Cooper M.d. 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 ID2961393723
PECOS Enrollment IDI20040322001187
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 3

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.

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.
228 services151 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.
83 services59 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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
24 suppliers126 claims338 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers44 claims69 services$1.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers178 claims178 services$184.50 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers13 claims13 services$172.73 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 2

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

AYSHA KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10 HOSPITAL DR STE 104
HOLYOKE, MA 01040
Hampden County (413) 534-2820
THOMAS JAMES GRAZIANO M.D.
Family Medicine
10 HOSPITAL DR STE 104
HOLYOKE, MA 01040
Hampden County (413) 533-2452

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 Robert Cooper's NPI number?

The NPI number for Robert Cooper is 1992739726. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Robert Cooper located?

Robert Cooper practices at 10 Hospital Dr Ste 104, Holyoke, MA 01040. The listed phone number is (413) 534-2820.

What is Robert Cooper's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Robert Cooper enrolled in Medicare?

Yes. Robert 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 Robert Cooper accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Robert 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 Robert Cooper affiliated with any hospitals?

According to CMS data, Robert Cooper is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Cooper was last updated on March 28, 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.