Cooper Willis Dean, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME100229 Issued in FL

Practice address

1600 SW Archer Rd
Gainesville, FL 32610-3003

Phone

(352) 265-0291

Fax

(352) 338-9879

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Florida College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score

47.54 of 100Reported as apm

Quality

38.49

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 4)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: cdean15528@direct.shands.ufl.edu

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.

• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  Care Compare group NPD
• Florida Clinical Practice Association Inc

  • Clinical Medical Laboratory
  • Gainesville, FL
  • NPI 1326108903
  Care Compare group
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Deltona, FL
  • NPI 1376133892
  Care Compare group
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Summerfield, FL
  • NPI 1861976516
  Care Compare group

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

• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1083403661

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1144019720

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Alachua, FL
  • NPI 1306717889

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1396616876

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Newberry, FL
  • NPI 1477424943

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1699874248

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1942031232

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1992542369

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1134218944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918025",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918025",
            "telephone_number": "352-265-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0291",
            "fax_number": "352-338-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "COOPER",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN10012",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME100229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003752600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Deacon, PHARMD
• Makaley Deal, LCSW
• Roger D Deal
• Dean C. Kramer, M.D.
• Alexander Dean, DMD
• Emily Anne Dean, RN
• Glenn Stewart Dean, DMD
• Keisha Lashawn Dean
• Mai Carroll Dean, MD
• Deardourff Timmons & Associates PA

• All providers in Gainesville, FL
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.