Active NPI
Cooper Loomis Terry, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 14854
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117049 | Medicaid | MS |
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
Enrollment records 1
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
Practice addresses (Care Compare)
107 Eureka St
Batesville, MS 38606-2533
Phone (662) 513-2000
Hospital & facility affiliations
- Tallahatchie General Hospital-Cah
- Baptist Memorial Hospital North Ms
- Tyler Holmes Memorial Hospital Cah
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.81 of 100
- Quality
- 100
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 92.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14854 | MS | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Orthopaedics and Sports Medicine PLLC | Sports Medicine | Current | 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
- cterry@oxfordortho.emadirect.md
- 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.
-
dba Mississippi Sports Medicine & Orthopaedic Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Oxford, MS
- NPI 1023042033
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- Critical Access Hospital
- Charleston, MS
- NPI 1679733497
-
- Critical Access Hospital
- Winona, MS
- NPI 1205868627
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.