1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Otolaryngology
  6. NPI Profile

DR. CARL D COPPOLA M.D.
NPI 1023006681
Otolaryngology in Louisville, KY

Active since October 07, 2005PECOS Enrolled
0/100
CMS Quality Rating
3950 KRESGE WAY STE 402, LOUISVILLE, KY 40207(502) 893-3683 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 14, 2023, Feb 18, 2020 (2 updates tracked since 2020).

About Dr. Carl D Coppola M.d. NPPES

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

DR. CARL D COPPOLA M.D. (NPI 1023006681) is an individual otolaryngology provider in Louisville, Kentucky, licensed in Kentucky (28995) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1023006681
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. CARL D COPPOLACredential: M.D.
Location Address3950 KRESGE WAY STE 402Louisville, KY 40207-5914
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0325
Phone(502) 893-3683
Sole ProprietorYes
Enumeration DateOctober 7, 2005
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1023006681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KY · 28995
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3950 KRESGE WAY STE 402, Louisville, KY 40207
Open in Google Maps ↗

Secondary Practice Location 1

Location 12429 Bush Ridge Drive, SUITE 103Louisville, KY 40245-5914 · Phone (502) 893-3683 · Fax (502) 893-1662

Other Identifiers 5

Other2862KY · Bcbs
Medicaid64289952KY
Other000000045699KY · Anthem
Other1052620KY · Passport
Other040011473KY · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl D Coppola M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carl Coppola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Physicians, Inc.
0.1 mi
Neurological Surgery
3900 KRESGE WAY, #41
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1265781348 (502) 899-3623

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEG BIGGS OGDEN PA-C
Physician Assistant
3950 KRESGE WAY STE 402
LOUISVILLE, KY 40207
Jefferson County (502) 895-2295
PATRICK JOHN HERRERA
Nurse Practitioner (Acute Care)
3950 KRESGE WAY STE 402
LOUISVILLE, KY 40207
Jefferson County (502) 895-2295

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 Carl Coppola's NPI number?

The NPI number for Carl Coppola is 1023006681. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Carl Coppola located?

Carl Coppola practices at 3950 Kresge Way Ste 402, Louisville, KY 40207. The listed phone number is (502) 893-3683.

What is Carl Coppola's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carl Coppola enrolled in Medicare?

Yes. Carl Coppola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Coppola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Coppola reassigns Medicare benefits to University Of Louisville Physicians, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Coppola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carl Coppola was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.