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DR. THOMAS KOPP M.D.
NPI 1144516352
Emergency Medicine in Toledo, OH

Active since June 26, 2011PECOS EnrolledAccepts Medicare Assignment
2222 CHERRY ST, TOLEDO, OH 43608(419) 322-3232 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Kopp M.d. NPPES

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

DR. THOMAS KOPP M.D. (NPI 1144516352) is an individual emergency medicine provider in Toledo, Ohio, licensed in Ohio (0000000000) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Wayne State University School Of Medicine (2011).

NPPES Registry Identity

NPI1144516352
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS KOPPCredential: M.D.
Location Address2222 CHERRY STToledo, OH 43608-2673
Mailing Address3036 Hopewell PlToledo, OH 43606-3104 · (248) 246-8055 · Fax (949) 266-8425
Phone(419) 322-3232
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2011
Enumeration DateJune 26, 2011
Last NPPES UpdateOctober 19, 2012
✔ NPI 1144516352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 0000000000
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301098885 (MI)
2222 CHERRY ST, Toledo, OH 43608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Thomas Kopp 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 ID345554812
PECOS Enrollment IDI20180817001887
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
128 services126 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Ascension River District Hospital

Acute Care Hospitals · East China, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230241
Location4100 River RdEast China, MI 48054 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

MRS. TAMILA A WILHELM RN, APRN , FNP-C
Nurse Practitioner (Family)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
NAN E. TOBIAS RN, CNP
Nurse Practitioner (Pediatrics)
2222 CHERRY ST, SUITE 1800
TOLEDO, OH 43608
Lucas County (419) 251-8027
STEFANIE PEER LISW
Social Worker (Clinical)
2222 CHERRY ST, SUITE 2800
TOLEDO, OH 43608
Lucas County (419) 251-8213
ANDREA BIGELOW FNP
Nurse Practitioner (Family)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
DR. DANIEL P OCONNOR DO
Internal Medicine (Pulmonary Disease)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4790
LEONARD H MADOFF MD
Pathology (Anatomic Pathology & Clinical Pathology)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4534
TANYANYIWA W CHINYADZA M.D.
Internal Medicine (Infectious Disease)
2222 CHERRY ST, STE 1400
TOLEDO, OH 43608
Lucas County (419) 251-4787
DR. NAUMAN NAEEM M.D.
Internal Medicine (Pulmonary Disease)
2222 CHERRY ST, SUITE 1400
TOLEDO, OH 43608
Lucas County (419) 251-4790

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 Thomas Kopp's NPI number?

The NPI number for Thomas Kopp is 1144516352. It was assigned to this individual provider in the NPPES registry on June 26, 2011.

Where is Thomas Kopp located?

Thomas Kopp practices at 2222 Cherry St, Toledo, OH 43608. The listed phone number is (419) 322-3232.

What is Thomas Kopp's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Kopp enrolled in Medicare?

Yes. Thomas Kopp 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 Thomas Kopp accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thomas Kopp 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 Thomas Kopp affiliated with any hospitals?

According to CMS data, Thomas Kopp is affiliated with Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Ascension River District Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Kopp was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.