ANDREW STEPHEN KOPECKY MD
NPI 1528527645
Radiology - Radiation Oncology in Providence, RI

Q: What is Andrew Kopecky's NPI number?

The NPI number for Andrew Kopecky is 1528527645. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Andrew Kopecky's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kopecky was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 18, 2019PECOS Enrolled

593 EDDY ST BSMT APC, PROVIDENCE, RI 02903(401) 444-8311(401) 444-8301 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2024, Jul 22, 2020, Jul 7, 2020 and 1 more (4 updates tracked since 2019).

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About Andrew Stephen Kopecky Md NPPES

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

ANDREW STEPHEN KOPECKY MD (NPI 1528527645) is an individual radiation oncology provider in Providence, Rhode Island, licensed in Rhode Island (MD19668) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528527645

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameANDREW STEPHEN KOPECKYCredential: MD

Location Address593 EDDY ST BSMT APCProvidence, RI 02903-4923

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 444-8311

Fax(401) 444-8301

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 14, 20244 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1528527645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in RI · MD19668✔ Licensed in MA · 284661

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

593 EDDY ST BSMT APC, Providence, RI 02903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Stephen Kopecky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779817309

PECOS Enrollment IDI20240621003697, I20260512001072

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Kopecky reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

Radiosurgery Center Of Rhode Island LLC

Same address

Radiation Oncology

593 EDDY ST, PHYSICIANS' OFFICE BUILDING, SUITE 130
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
14 clinicians in this Medicare group

NPI 1578726261 (401) 444-5447

Rhode Island Hospital

Same address

Hematology & Oncology

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
182 clinicians in this Medicare group

NPI 1396849782 (401) 444-5291

Lifespan Physician Group Of Massachusetts Inc

18 mi

Family Medicine

2007 BAY ST
Taunton, MA 02780

Reassigned Medicare billing, Massachusetts enrollment
547 clinicians in this Medicare group

NPI 1235957713 (774) 409-2009

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 8

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

122 services44 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

84 services30 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

76 services18 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

73 services15 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

38 services16 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 2

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

LYDIA KAY LIBUTTI FNP-C

Nurse Practitioner

593 EDDY ST BSMT APC
PROVIDENCE, RI 02903

Providence County (401) 444-8311

ERICA DIAS

Nurse Practitioner

593 EDDY ST BSMT APC
PROVIDENCE, RI 02903

Providence County (401) 444-8311

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 Andrew Kopecky's NPI number?

The NPI number for Andrew Kopecky is 1528527645. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Andrew Kopecky located?

Andrew Kopecky practices at 593 Eddy St Bsmt Apc, Providence, RI 02903. The listed phone number is (401) 444-8311.

What is Andrew Kopecky's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Andrew Kopecky enrolled in Medicare?

Yes. Andrew Kopecky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Kopecky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kopecky reassigns Medicare benefits to 4 organizations: Lifespan Physician Group, Inc. (Providence, RI), Radiosurgery Center Of Rhode Island LLC (Providence, RI), Rhode Island Hospital (Providence, RI) and Lifespan Physician Group Of Massachusetts Inc (Taunton, MA). Each 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 Andrew Kopecky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Kopecky affiliated with any hospitals?

According to CMS data, Andrew Kopecky is affiliated with Newport Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Kopecky was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.