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DAVID KUPSHIK
NPI 1114555018
Radiology - Diagnostic Radiology in Gainesville, GA

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Kupshik NPPES

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

DAVID KUPSHIK (NPI 1114555018) is an individual diagnostic radiology provider in Gainesville, Georgia, licensed in Georgia (111775) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1114555018
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID KUPSHIK
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 848-8448
Phone(770) 219-9000
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2020
Enumeration DateMarch 28, 2020
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1114555018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 111775
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
743 SPRING ST NE, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 E 66th StSavannah, GA 31404-5704 · Phone (404) 556-6968

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Kupshik 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 ID7416456272
PECOS Enrollment IDI20260109002424, I20260519002739
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 Reassignments

4

Medicare enrollment records show David Kupshik reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Georgia Community Physicians LLC
Same address
Internal Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 161 clinicians in this Medicare group
NPI 1881583730 (770) 219-9000
Atlantic Radiology Associates, LLC
222 mi
Diagnostic Radiology
4700 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1033136080 (912) 350-8436
Appalachian Mountains Medical, LLC
250 mi
Emergency Medicine
454 MCDOWELL ST
Welch, WV 24801
  • Reassigned Medicare billing, West Virginia enrollment
  • 77 clinicians in this Medicare group
NPI 1881023117 (304) 436-8685
University Of Penn-Medical Group
608 mi
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
Berwyn, PA 19312
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1396133559 (610) 576-7500

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

Hospital Affiliations CMS Care Compare

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

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

DARRYL E BLALOCK CRNA
Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
JACOB LEEDEKERKEN
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ANELA D PEARSON AGACNP-BC
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 534-2020
DR. SHARANI UMAYANGANI JAYARATNE MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
JUSTINA LI VEGA PA-C
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
LAUREN CALLAWAY PHARMD
Pharmacist
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-9000
RACHAEL PHLIPOT CAA
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
DR. KEITH EDWIN LEAP II MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (786) 357-9327

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 David Kupshik's NPI number?

The NPI number for David Kupshik is 1114555018. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is David Kupshik located?

David Kupshik practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is David Kupshik's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Kupshik enrolled in Medicare?

Yes. David Kupshik 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.

Which organizations bill Medicare for David Kupshik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kupshik reassigns Medicare benefits to 4 organizations: Northeast Georgia Community Physicians LLC (Gainesville, GA), Atlantic Radiology Associates, LLC (Savannah, GA), Appalachian Mountains Medical, LLC (Welch, WV) and University Of Penn-Medical Group (Berwyn, PA). Each 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 David Kupshik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Kupshik accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list David Kupshik 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 David Kupshik affiliated with any hospitals?

According to CMS data, David Kupshik is affiliated with Memorial University Medical Center.

When was this NPI record last updated?

The NPPES record for David Kupshik was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.