WAYNE KOPP M.D.
NPI 1255431094
Emergency Medicine in Lexington, KY
About Wayne Kopp M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAYNE KOPP M.D. (NPI 1255431094) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (23049) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Glasgow.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Wayne Kopp M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Wayne Kopp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Wayne Kopp's NPI number?
The NPI number for Wayne Kopp is 1255431094. It was assigned to this individual provider in the NPPES registry on September 22, 2006.
Where is Wayne Kopp located?
Wayne Kopp practices at 1221 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4000.
What is Wayne Kopp's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Wayne Kopp enrolled in Medicare?
Yes. Wayne Kopp is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Wayne Kopp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Kopp reassigns Medicare benefits to Southeastern Emergency Physicians LLC (Maysville, KY). 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 Wayne 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 Wayne Kopp was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wayne Kopp, M.D. · NPI 1255431094
Emergency Medicine physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1255431094 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 23049 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 S BROADWAY, Lexington, KY 40504-2701
- **Phone:** (859) 258-4000 · **Fax:** (859) 258-6203
## 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:** Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2023
- **Other identifiers:** Medicaid 64230493 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1255431094) · Data from the CMS NPPES public registry.