DR. THEODORE KOPP MD
NPI 1437348711
Physical Medicine & Rehabilitation - Pain Medicine in Mobile, AL

Active since October 23, 2007PECOS EnrolledAccepts Medicare Assignment
93.16/100
CMS Quality Rating
6720 GRELOT ROAD SUITE A, SUITE 1B, MOBILE, AL 36695(251) 633-5155(251) 633-5125 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Mar 7, 2018, Sep 14, 2016 (3 updates tracked since 2016).

About Dr. Theodore Kopp Md NPPES

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

DR. THEODORE KOPP MD (NPI 1437348711) is an individual pain medicine provider in Mobile, Alabama, licensed in Alabama (30966) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2007).

NPPES Registry Identity

NPI1437348711
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. THEODORE KOPPCredential: MD
Location Address6720 GRELOT ROAD SUITE A, SUITE 1BMobile, AL 36695-2676
Mailing Address6720 Grelot Road Suite AMobile, AL 36695-2676 · (251) 633-5155 · Fax (251) 633-5125
Fax(251) 633-5125
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2007
Enumeration DateOctober 23, 2007
Last NPPES UpdateFebruary 4, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
NPI 1437348711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in AL · 30966
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 30966 (AL)
Also ListedPhysical Medicine & Rehabilitation · Neuromuscular MedicineTaxonomy 2081N0008X · License 30966 (AL)
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 30966 (AL)
6720 GRELOT ROAD SUITE A, Mobile, AL 36695

Other Identifiers 2

Medicaid182198AL
Other511-70139AL · Bcbs Of Al

Accepted 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. Theodore Kopp Md 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 ID6406025980
PECOS Enrollment IDI20110818000284
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 26

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,014 services110 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
594 services174 patients
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.
381 services223 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
339 services169 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
289 services93 patients
Injection, orphenadrine citrate, up to 60 mg J2360
Orphenadrine citrate is a muscle relaxant used to treat muscle spasms and pain. In this procedure, up to 60 mg of the drug is injected into the body, helping to reduce discomfort and improve mobility.
236 services134 patients

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.

93.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.08
Improvement Activities40

Reported Quality Measures

Advance Care Plan
6%1,116 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
32%1,250 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
79%175 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%163 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,866 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,070 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%2,330 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%5,212 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 2,216 patients
0%2,216 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%227 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 1,154 patients
Patients totalRate: 19% · 1,161 patients
15%1,161 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds K0827
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$320.25 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier52 claims52 services$752.18 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier16 claims19 services$452.01 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 3

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

Physician Assistant (Medical)
6720 GRELOT ROAD SUITE A
MOBILE, AL 36695
Psychologist (Clinical)
6720 GRELOT ROAD SUITE A
MOBILE, AL 36695
Physical Medicine & Rehabilitation (Pain Medicine)
6720 GRELOT ROAD SUITE A
MOBILE, AL 36695

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 Theodore Kopp's NPI number?

The NPI number for Theodore Kopp is 1437348711. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Theodore Kopp located?

Theodore Kopp practices at 6720 Grelot Road Suite A Suite 1B, Mobile, AL 36695. The listed phone number is (251) 633-5155.

What is Theodore Kopp's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Theodore Kopp enrolled in Medicare?

Yes. Theodore Kopp 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 Theodore Kopp accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Theodore 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 Theodore Kopp was last updated on February 4, 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.