Active NPI 1811989890 Individual Practitioner Male Practitioner

Dr. Raphael M Cooper , MD

Urology • Kensington, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raphael Cooper, MD is a certified Urology practicing in Kensington, CT. With approximately 42 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 1984, Dr. Cooper delivers high-quality medical care to the local community at 279 NEW BRITAIN RD.

Dr. Cooper is affiliated with Starling Physicians, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, creatinine level to test for kidney function or muscle injury, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

279 New Britain Rd

Kensington, CT 060371353

Telephone 8608289700

Fax 8608289737

Associated Practice Facility / Clinic

🏢 Center For Urology Care Facility NPI 1396873840

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Kensington, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs Matches City Avg

City Avg: 42.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Kensington, CT (196 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cooper (42 Years) 42 Yrs

Kensington Specialty Average (42.0 Years) 42.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	707	517	$8.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	705	514	$18.00	$5.07
99213 Established patient office or other outpatient visit, typically 15 minutes	656	523	$136.00	$94.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$205.00	$116.66
51702 Simple insertion of temporary bladder tube	64	14	$202.00	$65.84
52000 Diagnostic exam of bladder and urethra using an endoscope	49	41	$660.00	$253.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	38	$355.00	$176.28
51798 Ultrasound measurement of bladder capacity after voiding	37	24	$56.00	$12.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$202.00	$133.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$85.00	$59.22
74420 Imaging of urinary tract	18	14	$480.00	$24.61
51700 Simple bladder irrigation and/or instillation	15	11	$235.00	$80.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82570 Creatinine level to test for kidney function or muscle injury	776	532	$18.00	$5.05
81003 Automated urinalysis test	768	531	$8.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	705	532	$136.00	$96.31
52000 Diagnostic exam of bladder and urethra using an endoscope	94	75	$660.00	$265.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$205.00	$118.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	54	$201.43	$133.52
51798 Ultrasound measurement of bladder capacity after voiding	57	45	$56.00	$11.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	45	$355.00	$182.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	14	$113.00	$37.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$304.03	$178.03
74420 Imaging of urinary tract	24	19	$480.00	$25.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	17	$84.79	$61.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	18	$192.83	$125.53
51700 Simple bladder irrigation and/or instillation	19	13	$235.00	$83.67
81001 Manual urinalysis test with examination using microscope, automated	18	12	$20.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82570 Creatinine level to test for kidney function or muscle injury	770	543	$18.00	$5.10
81003 Automated urinalysis test	723	515	$8.00	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	691	528	$134.47	$97.87
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	11	$340.00	$174.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	82	$190.00	$136.91
52000 Diagnostic exam of bladder and urethra using an endoscope	89	77	$600.00	$277.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$205.00	$122.03
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	47	14	$113.00	$37.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$290.00	$180.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	38	$355.00	$209.65
74420 Imaging of urinary tract	37	30	$480.00	$26.34
51798 Ultrasound measurement of bladder capacity after voiding	36	31	$56.00	$11.94
81001 Manual urinalysis test with examination using microscope, automated	26	25	$20.00	$3.11
51700 Simple bladder irrigation and/or instillation	25	17	$222.00	$86.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$80.00	$61.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$1291.00	$174.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	14	$190.00	$108.59
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$1184.00	$437.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$135.00	$75.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$45.00	$25.79
51701 Insertion of temporary bladder tube	13	12	$156.00	$49.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82570 Creatinine level to test for kidney function or muscle injury	765	516	$18.00	$5.16
99213 Established patient office or other outpatient visit, typically 15 minutes	732	525	$126.00	$99.32
81003 Automated urinalysis test	692	501	$8.00	$2.25
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	13	$330.91	$176.63
52000 Diagnostic exam of bladder and urethra using an endoscope	83	66	$570.46	$266.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$205.00	$122.81
51798 Ultrasound measurement of bladder capacity after voiding	67	52	$56.00	$11.75
81001 Manual urinalysis test with examination using microscope, automated	66	54	$20.00	$3.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	53	$190.00	$141.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	14	$113.00	$36.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	18	$135.00	$76.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$355.00	$213.83
74420 Imaging of urinary tract	24	17	$316.67	$26.82
51700 Simple bladder irrigation and/or instillation	22	17	$222.00	$89.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$80.00	$61.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82570 Creatinine level to test for kidney function or muscle injury	802	498	$18.00	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	761	516	$126.00	$82.19
81003 Automated urinalysis test	553	399	$8.00	$2.24
81001 Manual urinalysis test with examination using microscope, automated	233	190	$20.00	$3.11
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	16	$340.00	$222.51
52000 Diagnostic exam of bladder and urethra using an endoscope	100	73	$536.00	$237.95
51798 Ultrasound measurement of bladder capacity after voiding	95	78	$56.00	$11.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$205.00	$118.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	57	$190.00	$117.32
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	17	$113.00	$35.47
99221 Initial hospital inpatient care per day, typically 30 minutes	31	26	$180.00	$110.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	16	$135.00	$78.20
51700 Simple bladder irrigation and/or instillation	26	21	$222.00	$84.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$80.00	$50.31
74420 Imaging of urinary tract	21	16	$200.00	$27.64
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$80.00	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82570 Creatinine level to test for kidney function or muscle injury	886	480	$18.00	$5.62
81001 Manual urinalysis test with examination using microscope, automated	782	452	$20.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	720	464	$126.00	$79.51
51798 Ultrasound measurement of bladder capacity after voiding	102	75	$56.00	$14.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$205.00	$116.56
52000 Diagnostic exam of bladder and urethra using an endoscope	79	61	$536.00	$208.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$190.00	$116.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$80.00	$48.78
81003 Automated urinalysis test	34	19	$8.00	$2.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$355.00	$213.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	18	$135.00	$76.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	16	$190.00	$109.91
51700 Simple bladder irrigation and/or instillation	20	15	$222.00	$82.00
76872 Ultrasound scan of pelvic region through rectum	20	18	$306.00	$140.72
55700 Biopsy of prostate gland	17	16	$589.00	$274.41
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$180.00	$107.58
51701 Insertion of temporary bladder tube	12	11	$156.00	$48.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82570 Creatinine level to test for kidney function or muscle injury	871	481	$18.20	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	754	482	$126.00	$75.75
81001 Manual urinalysis test with examination using microscope, automated	734	446	$20.00	$3.83
51798 Ultrasound measurement of bladder capacity after voiding	137	88	$56.00	$17.23
52000 Diagnostic exam of bladder and urethra using an endoscope	120	87	$536.00	$176.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$205.58	$112.97
81003 Automated urinalysis test	73	59	$8.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$190.00	$110.20
51701 Insertion of temporary bladder tube	25	22	$156.00	$50.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$80.00	$46.07
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2208.00	$774.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1086.00	$414.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	735	558	$144.87	$78.25
81000 Manual urinalysis test with examination using microscope, non-automated	544	403	$10.00	$4.25
82570 Creatinine level to test for kidney function or muscle injury	506	405	$19.00	$6.94
81001 Manual urinalysis test with examination using microscope, automated	484	393	$20.00	$4.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	157	$176.51	$114.54
52000 Diagnostic exam of bladder and urethra using an endoscope	104	78	$514.88	$179.66
51798 Ultrasound measurement of bladder capacity after voiding	78	67	$52.92	$21.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$202.50	$116.54
81003 Automated urinalysis test	21	17	$8.00	$3.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	14	$71.67	$22.09
51701 Insertion of temporary bladder tube	16	15	$186.25	$51.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$95.38	$47.10
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$200.00	$107.89

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CT 027530

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001275305 (CT)

Hospital & Practice Group Affiliations

Starling Physicians, Pllc

11 S Rd, Farmington, CT 060322483

Phone: 8602583480

Starling Physicians, Pllc

100 Simsbury Rd, Avon, CT 060013793

Phone: 8602583480

Starling Physicians, Pllc

1260 Silas Deane Hwy, Wethersfield, CT 061094362

Phone: 8608324666

Starling Physicians, Pllc

1 Lake St, New Britain, CT 060521396

Phone: 8608327466

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Eugene Ciccone , MD

Internal Medicine - Infectious Disease

NPI 1437114030

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2012

Registered at 279 NEW BRITAIN RD, KENSINGTON, CT 060371353 (Tel: 8608289700)

📍

Updated Business Mailing Address September 10, 2012

Registered at 279 NEW BRITAIN RD, KENSINGTON, CT 060371353 (Tel: 8608289700)

👤

Provider Name / Credentials Updated September 10, 2012

Recorded as RAPHAEL COOPER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2012

Urology (License #027530 in CT)

🟢

Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811989890

Entity Type:

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

Enumeration Date: August 16, 2005

Last Update: September 10, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

279 New Britain Rd

Kensington, CT 060371353

Phone: 8608289700

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.