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DR. DOUGLAS A KOPPEL M.D.
NPI 1376616409
Dermatology - Procedural Dermatology in Metairie, LA

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3640 HOUMA BLVD, METAIRIE, LA 70006(504) 454-1885(504) 454-0925 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas A Koppel M.d. NPPES

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

DR. DOUGLAS A KOPPEL M.D. (NPI 1376616409) is an individual procedural dermatology provider in Metairie, Louisiana, licensed in Louisiana (024801) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1999).

NPPES Registry Identity

NPI1376616409
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameDR. DOUGLAS A KOPPELCredential: M.D.
Location Address3640 HOUMA BLVDMetairie, LA 70006-4230
Mailing Address3640 Houma BlvdMetairie, LA 70006-4230 · (504) 454-1885 · Fax (504) 454-0925
Phone(504) 454-1885
Fax(504) 454-0925
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1999
Enumeration DateNovember 16, 2006
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1376616409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in LA · 024801
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
3640 HOUMA BLVD, Metairie, LA 70006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas A Koppel M.d. 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 ID8820269657
PECOS Enrollment IDI20110927000386
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 9

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 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.
964 services548 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
859 services201 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
488 services301 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.
107 services107 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
86 services74 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
64 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
99%1,844 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
89%107 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%131 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,789 patients
Patients screened: 94% · 1,789 patients
100%81 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
82%229 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. ROBERT ANDREW KOPPEL M.D.
Dermatology
3640 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-1885
RENE KOPPEL, M.D. - A PROFESSIONAL MEDICAL CORPORATION
Dermatology
3640 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-1885
DR. RENE NONE KOPPEL M.D.
Dermatology (Procedural Dermatology)
3640 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-1885

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 Douglas Koppel's NPI number?

The NPI number for Douglas Koppel is 1376616409. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Douglas Koppel located?

Douglas Koppel practices at 3640 Houma Blvd, Metairie, LA 70006. The listed phone number is (504) 454-1885.

What is Douglas Koppel's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Douglas Koppel enrolled in Medicare?

Yes. Douglas Koppel 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.

What insurance does Douglas Koppel accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Douglas Koppel 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 Douglas Koppel was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.