Individual provider Active NPI

Cooper Loomis Terry, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Oxford, MS
National Provider Identifier
1407887797
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
14854 Issued in MS
Practice address
497 Azalea Dr
Suite 102
Oxford, MS 38655-7905
Phone
(662) 513-2000
Fax
(662) 513-2001
NPI assigned
Jul 5, 2006
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 14854 MS
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 14854 MS Primary

Addresses

Primary practice location

497 Azalea Dr
Suite 102
Oxford, MS 38655-7905

Mailing address

497 Azalea Dr
Suite 102
Oxford, MS 38655-7905
Phone (662) 513-2000

Other identifiers 1

IdentifierTypeStateIssuer
00117049MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20101122000952 MS Practitioner - Orthopedic Surgery 0547267726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Orthopaedics and Sports Medicine PLLCGroup PAC ID 8729085907, 12 clinicians

Practice addresses (Care Compare)

107 Eureka St
Batesville, MS 38606-2533
Phone (662) 513-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.81 of 100Reported as group
Quality
100
Promoting interoperability
92
Improvement activities
40
Cost
92.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)21
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14854MSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Orthopaedics and Sports Medicine PLLC Sports Medicine CurrentSince Nov 7, 1997 Accepting new patients

Locations

107 Eureka St
Batesville, MS 38606
Phone (662) 563-6000

1300 Sunset Dr
Ste T
Grenada, MS 38901
Phone (662) 226-3292

2018 McIngvale Rd
Ste 101
Hernando, MS 38632
Phone (662) 513-2000

497 Azalea Dr
Ste 102
Oxford, MS 38655
Phone (662) 513-2000

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

735 Belk Blvd
Oxford, MS 38655
Phone (662) 337-8148

Interoperability endpoints

  • Direct secure messaging: cterry@oxfordortho.emadirect.md
  • Direct secure messaging: referrals@direct.oxfordortho.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1407887797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 AZALEA DR",
            "address_2": "SUITE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557905",
            "telephone_number": "662-513-2000",
            "fax_number": "662-513-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 AZALEA DR",
            "address_2": "SUITE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557905",
            "telephone_number": "662-513-2000",
            "fax_number": "662-513-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "COOPER",
        "middle_name": "LOOMIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MS",
            "license": "14854",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MS",
            "license": "14854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117049",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.