TRACEY ANN KOPPERUD D.O.
NPI 1437194388
Obstetrics & Gynecology in Meridian, ID

Q: What is Tracey Kopperud's NPI number?

The NPI number for Tracey Kopperud is 1437194388. It was assigned to this individual provider in the NPPES registry on June 17, 2006. The provider is also known as Tracey A Roehrkasse Do.

Q: What is Tracey Kopperud's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Kopperud 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 June 17, 2006PECOS EnrolledAccepts Medicare Assignment

3520 E LOUISE DR, MERIDIAN, ID 83642(208) 888-0909(208) 888-5825 Get Directions Write a Review

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

Record update history: May 14, 2021, Apr 15, 2020 (2 updates tracked since 2020).

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About Tracey Ann Kopperud D.o. NPPES

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

TRACEY ANN KOPPERUD D.O. (NPI 1437194388) is an individual obstetrics & gynecology provider in Meridian, Idaho, licensed in Idaho (O0690) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1437194388

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTRACEY ANN KOPPERUDCredential: D.O.

Location Address3520 E LOUISE DRMeridian, ID 83642-6304

Mailing Address3520 E Louise DrMeridian, ID 83642-6304 · (208) 888-0909 · Fax (208) 888-5825

Phone(208) 888-0909

Fax(208) 888-5825

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 17, 2006

Last NPPES UpdateMay 14, 20212 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1437194388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ID · O0690

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3520 E LOUISE DR, Meridian, ID 83642

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Other Names 1

Former Name (1)Tracey A Roehrkasse Do

Other Identifiers 1

Other21910IA · Wellmark, Clive Office

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.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

Tracey Ann Kopperud D.o. 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 ID648272872

PECOS Enrollment IDI20121215000001

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 3

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.

25 services23 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.

20 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 17

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

JESSICA ROSE MCQUEARY NP

Nurse Practitioner (Obstetrics & Gynecology)