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SEAN W.P. KOPPE M.D.
NPI 1073534681
Internal Medicine - Hepatology in Chicago, IL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.28/100
CMS Quality Rating
840 S WOOD ST, CLINICAL SCIENCES BUILDING (CSB), MC/716, CHICAGO, IL 60612(312) 355-3558(312) 413-2844 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sean W.p. Koppe M.d. NPPES

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

SEAN W.P. KOPPE M.D. (NPI 1073534681) is an individual hepatology provider in Chicago, Illinois, licensed in Illinois (036111498) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2001).

NPPES Registry Identity

NPI1073534681
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameSEAN W.P. KOPPECredential: M.D.
Location Address840 S WOOD ST, CLINICAL SCIENCES BUILDING (CSB), MC/716Chicago, IL 60612-4325
Mailing Address840 S Wood St, Clinical Sciences Building (csb), Mc/716Chicago, IL 60612-4325 · (312) 355-3558 · Fax (312) 413-2844
Phone(312) 355-3558
Fax(312) 413-2844
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2001
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 29, 2014
✔ NPI 1073534681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in IL · 036111498
Definition

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 36111498 (IL)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 036111498 (IL)
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 036111498 (IL)
840 S WOOD ST, Chicago, IL 60612
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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

Sean W.p. Koppe 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 ID4486755352
PECOS Enrollment IDI20070723000022
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 8

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.
190 services139 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
92 services92 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 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.
56 services55 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
24 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

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.

97.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.78
Promoting Interoperability98.23
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers50 claims9,780 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers50 claims2,896 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims2,624 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers65 claims6,742 services$0.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers122 claims122 services$17.56 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers79 claims79 services$12.35 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.

DR. KYLE CORSO MORK PHARMD, MBA
Pharmacist (Ambulatory Care)
840 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-6783
DR. ALEXANDER SALIM GEHA MD
Surgery
840 S WOOD ST, SUITE 417 CSB
CHICAGO, IL 60612
Cook County (312) 996-5402
DR. KAREN STEINMETZ PATER PHARMD, BCPS, CDE
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163, CSB
CHICAGO, IL 60612
Cook County (312) 996-0870
MISS SHIYUN KIM PHARMD
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163 CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612
Cook County (312) 996-5025
OANA CRISTINA DANCIU M.D.
Internal Medicine (Hematology & Oncology)
840 S WOOD ST, MC-713
CHICAGO, IL 60612
Cook County (312) 996-1581
DR. MARY BIGLIN MD
Internal Medicine (Gastroenterology)
840 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-6651
ALICIA CHANG COJULUN MD
Student in an Organized Health Care Education/Training Program
840 S WOOD ST, MC 856
CHICAGO, IL 60612
Cook County (708) 691-0426
ABDUL KHAYYAM MOHAMMED MD
Pathology (Anatomic Pathology)
840 S WOOD ST
CHICAGO, IL 60612
Cook County (331) 300-9864

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 Sean Koppe's NPI number?

The NPI number for Sean Koppe is 1073534681. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Sean Koppe located?

Sean Koppe practices at 840 S Wood St Clinical Sciences Building (csb), Mc/716, Chicago, IL 60612. The listed phone number is (312) 355-3558.

What is Sean Koppe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Sean Koppe enrolled in Medicare?

Yes. Sean Koppe 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.

Is Sean Koppe affiliated with any hospitals?

According to CMS data, Sean Koppe is affiliated with Northwestern Lake Forest Hospital, Northwestern Medicine Delnor Community Hospital, Silver Cross Hospital And Medical Centers, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Koppe was last updated on December 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.