CHAD MICHAEL COPPER MD
NPI 1205816212
Surgery in Gainesville, GA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 536-2323(770) 536-4947 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Chad Michael Copper Md NPPES

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

CHAD MICHAEL COPPER MD (NPI 1205816212) is an individual surgery provider in Gainesville, Georgia, licensed in Georgia (055818) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205816212
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHAD MICHAEL COPPERCredential: MD
Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445
Fax(770) 536-4947
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2000
Enumeration DateJanuary 18, 2006
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1205816212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 055818
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Secondary Practice Locations 3

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 536-2323 · Fax (770) 536-4947
Location 21400 River PlBraselton, GA 30517-5600 · Phone (770) 536-2323 · Fax (770) 536-4947
Location 3495 Highway 400Dahlonega, GA 30533-6823 · Phone (770) 536-2323 · Fax (770) 536-4947

Other Identifiers 9

Medicaid603854369BGA
Other52170731GA · Bcbs
Medicaid603854369AGA
Other10045077GA · Amerigroup
Other7385826GA · Aetna
OtherP00246474GA · Rr Medicare-grp # Cc4177
Other8411488GA · Cigna
Other2548303GA · United Healthcare
Other340827GA · Wellcare

Accepted 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

Chad Michael Copper Md 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 ID840229860
PECOS Enrollment IDI20050810000714
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 9

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 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.
73 services56 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.
61 services61 patients
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.
55 services46 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
35 services34 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.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall 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.

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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.63
Promoting Interoperability87
Improvement Activities20
Cost72.14

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.

Clinical Medical Laboratory
725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501
Internal Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Surgery (Vascular Surgery)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Physician Assistant
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

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 Chad Copper's NPI number?

The NPI number for Chad Copper is 1205816212. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Chad Copper located?

Chad Copper practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 536-2323.

What is Chad Copper's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Chad Copper enrolled in Medicare?

Yes. Chad Copper 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 Chad Copper accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Chad Copper 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 Chad Copper affiliated with any hospitals?

According to CMS data, Chad Copper is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Chad Copper was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.