TERRY W KOPP MD
NPI 1184675431
Family Medicine in Chisago City, MN
About Terry W Kopp Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY W KOPP MD (NPI 1184675431) is an individual family medicine provider in Chisago City, Minnesota, licensed in Minnesota (31109) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Terry W Kopp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Terry Kopp reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chisago City, MN 55013
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Terry Kopp's NPI number?
The NPI number for Terry Kopp is 1184675431. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Terry Kopp located?
Terry Kopp practices at 11725 Stinson Ave, Chisago City, MN 55013. The listed phone number is (651) 257-8499.
What is Terry Kopp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Terry Kopp enrolled in Medicare?
Yes. Terry Kopp is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Terry Kopp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Kopp reassigns Medicare benefits to 3 organizations: Fairview Clinics (Chisago City, MN), Fairview Express Care (Wyoming, MN) and Fairview Health Services (Wyoming, MN). 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 Terry Kopp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Terry Kopp was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Terry W Kopp, MD · NPI 1184675431
Family Medicine physician in Chisago City, Minnesota. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1184675431 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 31109 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 11725 STINSON AVE, Chisago City, MN 55013-9542
- **Phone:** (651) 257-8499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1912151101, Chisago City, MN); Fairview Express Care (NPI 1346587805, Wyoming, MN); Fairview Health Services (NPI 1083692941, Wyoming, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2008
- **Other identifiers:** Medicare UPIN E40275 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1184675431) · Data from the CMS NPPES public registry.