MR. JOSEPH P COPPOLA DO
NPI 1013969583
Family Medicine in Bradenton, FL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
87.39/100
CMS Quality Rating
5108 TIDEWATER PRESERVE BLVD, BRADENTON, FL 34208(413) 658-7138 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Joseph P Coppola Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSEPH P COPPOLA DO (NPI 1013969583) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (OS7713) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1013969583
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JOSEPH P COPPOLACredential: DO
Location Address5108 TIDEWATER PRESERVE BLVDBradenton, FL 34208-5706
Mailing Address5108 Tidewater Preserve BlvdBradenton, FL 34208-5706 · (413) 658-7138
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
NPI 1013969583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS7713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS7713 (FL)
5108 TIDEWATER PRESERVE BLVD, Bradenton, FL 34208

Other Identifiers 1

Medicaid009068100FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Joseph P Coppola Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002702321
PECOS Enrollment IDI20130920000599, I20250730002979
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 33

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
971 services524 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
912 services509 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
790 services131 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
596 services151 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
501 services305 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
337 services337 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.62
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
62%417 patients3/55-star benchmark: 93%
Cervical Cancer Screening
22%188 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
27%342 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
41%864 patients2/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
83%24 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
6%183 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%183 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%5,008 patients4/55-star benchmark: 100%
e-Prescribing
97%1,978 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
45%1,360 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,739 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
32%1,339 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%2,072 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 77% · 1,419 patients
Patients screened: 83% · 1,419 patients
37%132 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
77%1,254 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%542 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,301 patients
Patients totalRate: 9% · 1,402 patients
10%1,402 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$13.57 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier18 claims18 services$38.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers46 claims46 services$79.40 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
2 suppliers22 claims1,320 services$4.40 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$19.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Coppola's NPI number?

The NPI number for Joseph Coppola is 1013969583. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Joseph Coppola located?

Joseph Coppola practices at 5108 Tidewater Preserve Blvd, Bradenton, FL 34208. The listed phone number is (413) 658-7138.

What is Joseph Coppola's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Coppola enrolled in Medicare?

Yes. Joseph Coppola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Coppola accept?

Health plans from Blue Cross Blue Shield of Wyoming, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Joseph Coppola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Coppola affiliated with any hospitals?

According to CMS data, Joseph Coppola is affiliated with Sheridan Memorial Hospital, Wyoming Medical Center and Memorial Hospital Of Converse County.

When was this NPI record last updated?

The NPPES record for Joseph Coppola was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.