Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Marie Cooperrider, MD

Individual provider Family Medicine Physician · NPI 1518372846

Jaclyn Marie Cooperrider, MD is registered under Family Practice in Boise, Idaho. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices with Idaho Sports Medicine Institute PA, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

325 W Idaho St
Boise, ID 83702-6040
Phone: (208) 514-2525
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500
  • 1188 W University Dr, Boise, ID 83706-3009 — (208) 336-8250

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-13130 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRM-1390 (ID)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence M-13130 (ID)

Record details

NPI number1518372846
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Idaho Sports Medicine Institute Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 618 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $17 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Idaho Sports Medicine Institute PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 12 clinicians in the practice; 10 are shown here.

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