Individual provider Active NPI

Candice Cooper, DPM

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
National Provider Identifier
1053869784
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
884 Issued in CO
Practice address
8580 Scarborough Dr Ste 120
Colorado Springs, CO 80920-7583
Phone
(719) 266-5000
Fax
(719) 266-6596
NPI assigned
Sep 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000971 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 884 CO Primary

Addresses

Primary practice location

8580 Scarborough Dr Ste 120
Colorado Springs, CO 80920-7583

Mailing address

8580 Scarborough Dr Ste 120
Colorado Springs, CO 80920-7583
Phone (719) 266-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706000478 CO Practitioner - Podiatry 5799187308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McVay Foot and Ankle, PCGroup PAC ID 4486937653, 2 clinicians

Practice addresses (Care Compare)

8580 Scarborough Dr
Suite 120
Colorado Springs, CO 80920-7583
Phone (719) 266-5000

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Colorado Springs, CO, CCN 067449
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
83.89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue69
Removal of skin lesions1-10
Removal of nail tissue427
Removal or shaving of skin growth116
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
884COMDClinical Social Worker
000971AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
McVay Foot & Ankle, PC Foot & Ankle Surgery CurrentSince Mar 31, 2021 Accepting new patients

Locations

8580 Scarborough Dr
Ste 120
Colorado Springs, CO 80920
Phone (719) 266-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1053869784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-266-5000",
            "fax_number": "719-266-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-266-5000",
            "fax_number": "719-266-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CANDICE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-11",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "000971",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.