STEPHEN S KOPPES P.A.-C
NPI 1164705505
Physician Assistant - Surgical in Upper Arlington, OH

Q: What is Stephen Koppes's NPI number?

The NPI number for Stephen Koppes is 1164705505. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Q: What is Stephen Koppes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Koppes was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since September 22, 2011PECOS EnrolledAccepts Medicare Assignment

86.55/100

CMS Quality Rating

4605 SAWMILL RD, UPPER ARLINGTON, OH 43220(614) 827-8700 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 10, 2025, Aug 31, 2016 (2 updates tracked since 2016).

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About Stephen S Koppes P.a.-c NPPES

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

STEPHEN S KOPPES P.A.-C (NPI 1164705505) is an individual surgical provider in Upper Arlington, Ohio, licensed in Ohio (50003385) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Zanesville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164705505

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSTEPHEN S KOPPESCredential: P.A.-C

Location Address4605 SAWMILL RDUpper Arlington, OH 43220-2246

Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 545-7900 · Fax (614) 545-7900

Phone(614) 827-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 22, 2011

Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1164705505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OH · 50003385

4605 SAWMILL RD, Upper Arlington, OH 43220

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Secondary Practice Location 1

Location 12854 Bell StZanesville, OH 43701-1721 · Phone (740) 454-3273 · Fax (740) 454-3273

Other Identifiers 1

Medicaid0309375OH

Accepted Insurance

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

Stephen S Koppes P.a.-c 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 ID5294907697

PECOS Enrollment IDI20111006000721

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

398 services55 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

106 services68 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.

22 services21 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

16 services16 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

15 services11 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

12 services12 patients

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.

86.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.58

Promoting Interoperability

Improvement Activities

Cost

75.27

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

80%151 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

62%152 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

33%175 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

54%90 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. MARLO VAN STEYN MD

Orthopaedic Surgery (Hand Surgery)