DR. WILLIAM JOSEPH KOPP MD
NPI 1285604371
Family Medicine in Anderson, IN

Q: What is William Kopp's NPI number?

The NPI number for William Kopp is 1285604371. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is William Kopp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for William Kopp was last updated on December 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 January 23, 2006PECOS Enrolled

14.18/100

CMS Quality Rating

2101 JACKSON ST, SUITE #208, ANDERSON, IN 46016(765) 646-8448(765) 683-3130 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. William Joseph Kopp Md NPPES

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

DR. WILLIAM JOSEPH KOPP MD (NPI 1285604371) is an individual family medicine provider in Anderson, Indiana, licensed in Indiana (01028142) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285604371

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WILLIAM JOSEPH KOPPCredential: MD

Location Address2101 JACKSON ST, SUITE #208Anderson, IN 46016-4388

Mailing Address2101 Jackson St, Suite #208Anderson, IN 46016-4388 · (765) 646-8448 · Fax (765) 683-3130

Phone(765) 646-8448

Fax(765) 683-3130

Sole ProprietorYes

Enumeration DateJanuary 23, 2006

Last NPPES UpdateDecember 29, 2009

✔ NPI 1285604371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01028142

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2101 JACKSON ST, Anderson, IN 46016

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Other Identifiers 7

Medicare UPIND69733IN

Other021761912IN · Medicare Railroad

Other7885580002IN · Cigna

Medicare PIN504780IN

Other000000084851IN · Blue Cross-blue Shield

Other5986267IN · Aetna

Medicaid1001711230AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Joseph Kopp 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.

Areas of Expertise CMS Part B claims 11

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.

586 services172 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

112 services32 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

72 services72 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

69 services69 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

43 services43 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

43 services43 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.

35 services29 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

34 services25 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services22 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46016 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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.

14.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

47.28

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers50 claims164 services$5.56 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers27 claims44 services$0.97 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier11 claims240 services$4.31 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430

DME-Orthotic Devices · category DF010N

1 supplier11 claims240 services$8.09 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers17 claims17 services$62.50 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers22 claims54 services$26.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

JAMES S MILLIGAN MD INC

Otolaryngology

2101 JACKSON ST, STE 115
ANDERSON, IN 46016

Madison County (765) 643-6961

THOMAS BRIGHT MD

Internal Medicine (Pulmonary Disease)

2101 JACKSON ST, #110
ANDERSON, IN 46016

Madison County (765) 643-6012

DR. EDSON DREW CARREL M.D.

Orthopaedic Surgery

2101 JACKSON ST, SUITE 014
ANDERSON, IN 46016

Madison County (765) 646-8272

MINATI D SWOFFORD

Dermatology

2101 JACKSON ST, STE 118
ANDERSON, IN 46016

Madison County (765) 683-3160

DAVID C MARES MD

Internal Medicine (Pulmonary Disease)

2101 JACKSON ST, #110
ANDERSON, IN 46016

Madison County (765) 643-6012

DEBRA JEAN HARP M.D.

Internal Medicine

2101 JACKSON ST, SUITE 011
ANDERSON, IN 46016

Madison County (765) 608-2630

KHALIL G WAKIM

Surgery

2101 JACKSON ST, # 105
ANDERSON, IN 46016

Madison County (765) 649-8555

OPEN DOOR HEALTH SERVICES, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

2101 JACKSON ST, SUITE 8, MEDICAL ARTS BLDG.
ANDERSON, IN 46016

Madison County (765) 286-7000

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 William Kopp's NPI number?

The NPI number for William Kopp is 1285604371. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is William Kopp located?

William Kopp practices at 2101 Jackson St Suite #208, Anderson, IN 46016. The listed phone number is (765) 646-8448.

What is William Kopp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Kopp enrolled in Medicare?

Yes. William Kopp is registered in the Medicare PECOS enrollment system.

What insurance does William Kopp accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list William Kopp 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.

When was this NPI record last updated?

The NPPES record for William Kopp was last updated on December 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.