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MR. KENNETH J. KOPACZ MD
NPI 1205944709
Orthopaedic Surgery in Livingston, NJ

Active since August 26, 2006PECOS EnrolledAccepts Medicare Assignment
200 SO. ORANGE AVE, SUITE 180 ANNEX, LIVINGSTON, NJ 07039(973) 226-2725(973) 226-3270 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kenneth J. Kopacz Md NPPES

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

MR. KENNETH J. KOPACZ MD (NPI 1205944709) is an individual orthopaedic surgery provider in Livingston, New Jersey, licensed in New Jersey (25MA05400200) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1988).

NPPES Registry Identity

NPI1205944709
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. KENNETH J. KOPACZCredential: MD
Location Address200 SO. ORANGE AVE, SUITE 180 ANNEXLivingston, NJ 07039
Mailing Address200 So. Orange Ave, Suite 180 AnnexLivingston, NJ 07039 · (973) 226-2725 · Fax (973) 226-3270
Phone(973) 226-2725
Fax(973) 226-3270
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1988
Enumeration DateAugust 26, 2006
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1205944709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · 25MA05400200
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 25MA05400200 (NJ)
200 SO. ORANGE AVE, Livingston, NJ 07039
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Other Identifiers 2

OtherES546Oxford
OtherF12538Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Mr. Kenneth J. Kopacz 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 ID7719046887
PECOS Enrollment IDI20100601000243
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 Reassignment

Medicare enrollment records show Kenneth Kopacz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA
7.4 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

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

Areas of Expertise CMS Part B claims 8

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 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.
173 services133 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.
105 services92 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.
73 services73 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
44 services43 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.
26 services26 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
26 services23 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPINE CARE AND REHABILITATION, INC.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
200 SO. ORANGE AVE, SUITE 180 ANNEX
LIVINGSTON, NJ 07039
Essex County (973) 226-2725
MR. CHRISTOPHER M. ZARRO MD
Orthopaedic Surgery
200 SO. ORANGE AVE, SUITE 180 ANNEX
LIVINGSTON, NJ 07039
Essex County (973) 226-2725
MR. CASEY K LEE MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
200 SO. ORANGE AVE, SUITE 180 ANNEX
LIVINGSTON, NJ 07039
Essex County (973) 226-2725
MR. EDWARD B DECKER M.D.
Ophthalmology
200 SO. ORANGE AVE, SUITE 209
LIVINGSTON, NJ 07039
Essex County (973) 322-0100

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 Kenneth Kopacz's NPI number?

The NPI number for Kenneth Kopacz is 1205944709. It was assigned to this individual provider in the NPPES registry on August 26, 2006.

Where is Kenneth Kopacz located?

Kenneth Kopacz practices at 200 So. Orange Ave Suite 180 Annex, Livingston, NJ 07039. The listed phone number is (973) 226-2725.

What is Kenneth Kopacz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kenneth Kopacz enrolled in Medicare?

Yes. Kenneth Kopacz 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 organization bills Medicare for Kenneth Kopacz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kopacz reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Kenneth Kopacz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Kopacz accept?

Health plans from Oscar Health list Kenneth Kopacz 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 Kenneth Kopacz affiliated with any hospitals?

According to CMS data, Kenneth Kopacz is affiliated with St Joseph's University Medical Center Inc, Overlook Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Kopacz was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.