KRZYSZTOF KOPEC MD NPI 1245455740

Internal Medicine (Gastroenterology) in Farmington, CT

NPI 1245455740 Individual Male Years of Experience 20 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KRZYSZTOF KOPEC

Krzysztof Kopec is an internal medicine provider established in Farmington, Connecticut and his medical specialization is internal medicine (gastroenterology) with more than 20 years of experience. The NPI number of Krzysztof Kopec is 1245455740 and was assigned on April 2007. The practitioner's primary taxonomy code is 207RG0100X with license number 050994 (CT). The provider is registered as an individual and his NPI record was last updated 9 years ago.

An internist like Krzysztof Kopec Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Krzysztof Kopec is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Krzysztof Kopec is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with The Hospital Of Central Connecticut, Day Kimball Hospital and Hartford Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: colorectal cancer screening, documentation of current medications in the medical record, e-prescribing, health information exchange, implementation of use of specialist reports back to referring clinician or group to close referral loop, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms., secure messaging, security risk analysis, use of high-risk medications in the elderly, use of high-risk medications in the elderly and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1245455740

Provider Name KRZYSZTOF KOPEC MD
Provider Location Address21 SOUTH RD SUITE 100 FARMINGTON, CT 06032
Provider Mailing Address2139 SILAS DEANE HWY ROCKY HILL, CT 06067
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-17-2007
Last Update Date08-09-2012


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.050994
License StateCT
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

KRZYSZTOF KOPEC MD
21 SOUTH RD
SUITE 100
FARMINGTON, CT
ZIP 06032
Phone: (860) 409-4567
Fax: (860) 409-4846

Get Directions


Mailing Address

KRZYSZTOF KOPEC MD
2139 SILAS DEANE HWY
ROCKY HILL, CT
ZIP 06067
Phone: (860) 257-4131
Fax: (860) 257-4519



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9739336314
PECOS Enrollment IDI20120905000004
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 96Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 54Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 35Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 22Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 12Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Colorectal Cancer Screening 67% 337
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 99% 910
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 93% 2316
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 0% 494
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 99% 437
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 9% 906
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 59% 906
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 12% 906
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Use of High-Risk Medications in the Elderly 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
255
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
255
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
View, Download, or Transmit (VDT) 13% 906
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Krzysztof Kopec is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THE HOSPITAL OF CENTRAL CONNECTICUT100 GRAND STREET
NEW BRITAIN, CT 6050
(860) 224-5011Acute Care Hospitals70035
DAY KIMBALL HOSPITAL320 POMFRET STREET
PUTNAM, CT 6260
(860) 928-6541Acute Care Hospitals70003
HARTFORD HOSPITAL80 SEYMOUR STREET
HARTFORD, CT 6102
(860) 545-5000Acute Care Hospitals70025

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineLP00875RINo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
008040556MEDICAID (05)CT

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992708226DR. LYNN M FIRESTONE AU.D.
Individual
Audiologist21 SOUTH RD STE 112
FARMINGTON, CT 06032
(860) 284-4940
1477657088 KYUNG H CHUNG MD
Individual
Internal Medicine21 SOUTH RD SUITE 100
FARMINGTON, CT 06032
(860) 409-4567
1891899415 MICHELLE V SMEDLEY MD
Individual
Internal Medicine (Gastroenterology)21 SOUTH RD SUITE 100
FARMINGTON, CT 06032
(860) 409-4567
1013130392DR. CHRISTY AURIGEMMA AU.D.
Individual
Audiologist21 SOUTH RD
FARMINGTON, CT 06032
(860) 284-4940
1417126087MR. MICHAEL E TORTORELLO I PA-C
Individual
Physician Assistant (Medical)21 SOUTH RD DERMATOLOGY
FARMINGTON, CT 06032
(860) 679-4600
1073519229 PHILIP E KERR MD
Individual
Dermatology21 SOUTH RD DERMATOLOGY
FARMINGTON, CT 06032
(860) 679-4600
1114922879 ADRIENNE B BERKE MD
Individual
Dermatology (Dermatopathology)21 SOUTH RD DERMATOLOTY
FARMINGTON, CT 06032
(860) 679-4600
1639380884 KATALIN FERENCZI M.D.
Individual
Dermatology (Dermatopathology)21 SOUTH RD DERMATOLOGY
FARMINGTON, CT 06032
(860) 679-4600
1558403311 SOHEIL S DADRAS MD
Individual
Pathology (Dermatopathology)21 SOUTH RD DERMATOPATHOLOGY LAB
FARMINGTON, CT 06032
(860) 679-6286
1417099128 JUN LU MD
Individual
Dermatology21 SOUTH RD DERMATOLOGY
FARMINGTON, CT 06032
(860) 679-4600
1154538122DR. ARNI KJALAR KRISTJANSSON M.D.
Individual
Dermatology (Dermatopathology)21 SOUTH RD
FARMINGTON, CT 06032
(860) 679-3474
1134193386 CHRISTINA GARCIA APRN
Individual
Nurse Practitioner (Family)21 SOUTH RD
FARMINGTON, CT 06032
(860) 679-4600
1083002307MRS. SARAH DEAN APRN
Individual
Nurse Practitioner (Family)21 SOUTH RD
FARMINGTON, CT 06032
(860) 284-4945
1336122100UNIVERSITY OF CONNECTICUT HEALTH CENTER
Organization
Clinical Medical Laboratory21 SOUTH RD DERMATOPATHOLOGY LABORATORY
FARMINGTON, CT 06032
(860) 679-4600
1912949751 VICTORIA CIALFI MHS, PA-C
Individual
Physician Assistant21 SOUTH RD
FARMINGTON, CT 06032
(860) 679-4600
1740412915 LAURA HOLDEN JAEGER PA
Individual
Physician Assistant21 SOUTH RD SUITE 112
FARMINGTON, CT 06032
(585) 330-3346
1699940692DR. EDWARD JUNG KYUN LEE M.D.
Individual
Otolaryngology21 SOUTH RD SUITE 112
FARMINGTON, CT 06032
(860) 284-4950
1275027302 TESSA SMOLINSKI AU.D.
Individual
Audiologist21 SOUTH RD
FARMINGTON, CT 06032
(860) 284-4940
1417199316DR. NEIL D PARIKH M.D.
Individual
Internal Medicine (Gastroenterology)21 SOUTH RD SUITE 100
FARMINGTON, CT 06032
(860) 409-4567
1952575573 MICHAEL J PAYETTE M.D., M.B.A.
Individual
Dermatology21 SOUTH RD 2ND FLOOR - DEPARTMENT OF DERMATOLOGY
FARMINGTON, CT 06032
(860) 679-4600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.