ROBERTA LYNN KOEPPEN MD
NPI 1235703299
Urology in Springfield, IL

Q: What is Roberta Koeppen's NPI number?

The NPI number for Roberta Koeppen is 1235703299. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Q: What is Roberta Koeppen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Koeppen was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 14, 2021PECOS Enrolled

747 N RUTLEDGE ST, SPRINGFIELD, IL 62702(217) 545-3262(217) 545-7305 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Roberta Lynn Koeppen Md NPPES

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

ROBERTA LYNN KOEPPEN MD (NPI 1235703299) is an individual urology provider in Springfield, Illinois, licensed in Illinois (125077975) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235703299

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameROBERTA LYNN KOEPPENCredential: MD

Location Address747 N RUTLEDGE STSpringfield, IL 62702-6700

Mailing AddressPo Box 19665Springfield, IL 62794-9665 · (217) 545-3262 · Fax (217) 545-7305

Phone(217) 545-3262

Fax(217) 545-7305

Sole ProprietorNo

Enumeration DateMay 14, 2021

NPPES CertifiedMay 14, 2021

✔ NPI 1235703299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 125077975

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

747 N RUTLEDGE ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta Lynn Koeppen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 20

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

JILLIAN HENRY M.D.

Obstetrics & Gynecology

747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

FRANCES TANGHERLINI LEE M.D.

Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

HEALTHCARE NETWORK ASSOCIATES

Obstetrics & Gynecology

747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

MICHAEL HYUN-OOK KIM MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MELINDA K ISAACS RPH

Pharmacist

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 523-0846

DR. MOHAMED RAFA LABEDI MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

SARA KEBEDE MD, MSCR

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

DR. KATIE MCGLONE MD

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

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 Roberta Koeppen's NPI number?

The NPI number for Roberta Koeppen is 1235703299. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Roberta Koeppen located?

Roberta Koeppen practices at 747 N Rutledge St, Springfield, IL 62702. The listed phone number is (217) 545-3262.

What is Roberta Koeppen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Roberta Koeppen enrolled in Medicare?

Yes. Roberta Koeppen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roberta Koeppen was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.