PETER BROOKS KOPPENHEFFER M.D.
NPI 1053637561
Family Medicine in Greenfield, MA

Q: What is Peter Koppenheffer's NPI number?

The NPI number for Peter Koppenheffer is 1053637561. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Q: What is Peter Koppenheffer's specialty?

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

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment

48 SANDERSON ST, GREENFIELD, MA 01301(413) 773-2022 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peter Brooks Koppenheffer M.d. NPPES

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

PETER BROOKS KOPPENHEFFER M.D. (NPI 1053637561) is an individual family medicine provider in Greenfield, Massachusetts, licensed in Massachusetts (275445) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Saranac Lake.

NPPES Registry Identity

NPI1053637561

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePETER BROOKS KOPPENHEFFERCredential: M.D.

Location Address48 SANDERSON STGreenfield, MA 01301

Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1619 · (413) 794-5700

Phone(413) 773-2022

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 9, 2010

Last NPPES UpdateSeptember 19, 2018

✔ NPI 1053637561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MA · 275445✔ Licensed in NY · 269392

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.

48 SANDERSON ST, Greenfield, MA 01301

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Secondary Practice Location 1

Location 1118 Main StSaranac Lake, NY 12983-1705 · Phone (518) 891-5000 · Fax (518) 891-2598

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Peter Brooks Koppenheffer M.d. 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 ID7012162662

PECOS Enrollment IDI20180910001110

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 6

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.

332 services236 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.

215 services184 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.

151 services151 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

15 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220016

Location164 High StreetGreenfield, MA 01301 · Franklin County

Emergency services Birthing friendly

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220065

Location115 West Silver StreetWestfield, MA 01085 · Hampden County

Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01301 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers45 claims94 services$6.18 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers19 claims19 services$1.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$14.80 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims18 services$3.71 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

4 suppliers22 claims22 services$63.49 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers17 claims3,884 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

JENNIFER JAKOWSKI LCSW

Social Worker (Clinical)