Deactivated NPI 1518995836 Deactivated / Inactive NPI Male Practitioner

Dr. Lavont Lacy Cooper , MD

General Practice • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lavont Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2006

NPI Deactivation Date June 28, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Lavont Cooper, MD was a registered General Practice practicing in Phoenix, AZ. Throughout an active medical career spanning 17 years, Dr. Cooper provided care at the practice location at 110 N 9TH AVE until profile deactivation on 2023-06-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

110 N 9th Ave
Ste 101

Phoenix, AZ 850072728

Telephone 6024638338

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.7 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

65 Specialists

Practicing in Phoenix, AZ (259 Statewide)

Telehealth Adoption Rate

4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$210.00	$88.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$329.00	$109.28
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	12	$207.92	$40.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	49	$329.00	$110.31
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$229.00	$89.73
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	18	$170.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$373.20	$160.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	32	$245.33	$105.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$320.00	$106.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	49	$202.00	$105.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$295.00	$161.42
81003 Automated urinalysis test	15	14	$9.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	53	$202.00	$102.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$295.00	$153.04
81003 Automated urinalysis test	14	12	$12.43	$2.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$44.00	$19.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	88	$202.00	$102.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$295.00	$156.16
81003 Automated urinalysis test	19	18	$21.00	$3.02

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AZ 26206

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated June 28, 2023

Record deactivated on June 28, 2023

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NPI Profile Active August 29, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 29, 2011

Registered at 110 N 9TH AVE, STE 101, PHOENIX, AZ 850072728 (Tel: 6024638338)

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Updated Business Mailing Address August 29, 2011

Registered at 110 N 9TH AVE, PHOENIX, AZ 850072728 (Tel: 6024638338)

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Provider Name / Credentials Updated August 29, 2011

Recorded as LAVONT COOPER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2011

General Practice (License #26206 in AZ)

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Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518995836

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2006

Last Update: August 29, 2011

Deactivation Date: June 28, 2023

Update or Correct Profile

Mailing Address

110 N 9th Ave

Phoenix, AZ 850072728

Phone: 6024638338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.