Active NPI 1518951375 Individual Practitioner Male Practitioner

Dr. James Clay Copher , MD

Surgery • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Dr. James Copher, MD is a registered healthcare professional specializing in Surgery in Cumming, GA. Practice services are available at 980 SANDERS RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

980 Sanders Rd
Suite 100

Cumming, GA 300415977

Telephone 7708861074

Fax 7702054717

Associated Practice Facility / Clinic

🏢 Spotlight Family Dental Llc Facility NPI 1952609869

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cumming, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.2 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Cumming, GA (1046 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% 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 (2024)

Reporting Year:

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	49	49	$339.00	$110.21
99213 Established patient office or other outpatient visit, typically 15 minutes	46	34	$273.00	$89.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$503.00	$164.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$171.00	$55.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$386.00	$126.51
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$219.00	$71.21
49650 Repair of groin hernia using an endoscope	11	11	$1564.73	$494.01

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	40	40	$339.00	$111.50
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$273.42	$89.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$503.12	$164.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	19	$170.81	$54.82
49650 Repair of groin hernia using an endoscope	16	16	$1558.19	$502.12
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$219.40	$71.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$358.00	$117.41

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	44	44	$339.00	$112.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$507.00	$166.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	20	$170.00	$56.59
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$276.00	$90.64
49650 Repair of groin hernia using an endoscope	13	13	$1568.00	$506.05
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$220.82	$70.88

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	31	31	$501.06	$169.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$332.93	$113.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$150.96	$56.65
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$267.41	$92.04
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$220.50	$73.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	29	$129.00	$45.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$317.00	$106.79
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$213.00	$75.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$484.00	$164.60
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$219.00	$75.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	41	$129.00	$45.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$484.00	$165.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$317.00	$108.89
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$213.00	$74.54
49650 Repair of groin hernia using an endoscope	14	14	$1501.50	$493.71
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2161.00	$719.61
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$219.00	$76.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	36	$129.00	$43.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$484.00	$165.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$317.00	$108.40
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$213.00	$73.08
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$219.00	$75.23
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2161.00	$711.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$588.00	$204.04
49650 Repair of groin hernia using an endoscope	11	11	$1389.82	$483.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	47	$129.00	$43.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$317.00	$105.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$484.00	$160.21
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$2161.00	$731.76
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$219.00	$74.56
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$213.00	$73.19
49505 Repair of groin hernia (5 years or older)	12	12	$1548.00	$532.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$400.00	$136.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$588.00	$203.03

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 034798

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License GA 034798

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00638294C (GA)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Zahra Alavi , NP

Nurse Practitioner - Gerontology

NPI 1003680109

Nurse Practitioner

Jennifer Kang , FNP-C

Nurse Practitioner - Family

NPI 1205353422

Family Nurse Practitioner (Certified)

Dr. Jeffrey Tucker , MD

Specialist

NPI 1265426738

Doctor of Medicine (M.D.)

Dr. Kevin Friedrich , MD

Surgery

NPI 1295232106

Doctor of Medicine (M.D.)

Dr. Bryan Whitfield , MD

Surgery

NPI 1841624731

Doctor of Medicine (M.D.)

Dr. Louis Goehring , MD

Surgery

NPI 1851386866

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 December 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2015

Registered at 980 SANDERS RD, SUITE 100, CUMMING, GA 300415977 (Tel: 7708861074)

📍

Updated Business Mailing Address December 29, 2015

Registered at 980 SANDERS RD, SUITE 100, CUMMING, GA 300415977 (Tel: 7708861075)

👤

Provider Name / Credentials Updated December 29, 2015

Recorded as JAMES COPHER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2015

Specialist (License #034798 in GA)

🟢

Initial NPI Registration & Enumeration September 08, 2005

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: 1518951375

Entity Type:

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

Enumeration Date: September 08, 2005

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

980 Sanders Rd, Suite 100

Cumming, GA 300415977

Phone: 7708861075

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.