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DR. NICHOLAS J COPPINS MD
NPI 1568937159
Family Medicine in Kittery, ME

Active since October 10, 2018PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
35 WALKER ST, KITTERY, ME 03904(207) 439-4430(207) 439-0968 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, Oct 10, 2018 (2 updates tracked since 2018).

About Dr. Nicholas J Coppins Md NPPES

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

DR. NICHOLAS J COPPINS MD (NPI 1568937159) is an individual family medicine provider in Kittery, Maine, licensed in Maine (MD22344) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1568937159
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLAS J COPPINSCredential: MD
Location Address35 WALKER STKittery, ME 03904-1727
Mailing Address15 Hospital DrYork, ME 03909-1099 · (207) 351-2478 · Fax (207) 351-2216
Phone(207) 439-4430
Fax(207) 439-0968
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 10, 2018
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1568937159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD22344
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.
35 WALKER ST, Kittery, ME 03904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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. Nicholas J Coppins 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 ID345594842
PECOS Enrollment IDI20181120002047
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 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.

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.
325 services325 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.
288 services202 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.
242 services207 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services47 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
29 services25 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03904 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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
9 suppliers27 claims85 services$6.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims24 services$0.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers30 claims30 services$38.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers14 claims14 services$96.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers13 claims39 services$35.75 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers16 claims16 services$48.92 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 14

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

JOHN BARRON STALLMAN II PA-C
Otolaryngology
35 WALKER ST, STE 200
KITTERY, ME 03904
York County (207) 351-3525
KIMBERLEE SMITH
Nurse Practitioner
35 WALKER ST
KITTERY, ME 03904
York County (207) 439-4430
YORK HOSPITAL
Clinic/Center (Urgent Care)
35 WALKER ST
KITTERY, ME 03904
York County (207) 439-4430
RENEE MARIE AL-DARRAJI NP
Nurse Practitioner (Family)
35 WALKER ST
KITTERY, ME 03904
York County (207) 439-4430
CHRISTOPHER MICHAEL SARNO M.D.
Otolaryngology
35 WALKER ST, SUITE 200
KITTERY, ME 03904
York County (207) 351-3525
KIMBERLEY A RUSSELL NP
Nurse Practitioner (Family)
35 WALKER ST
KITTERY, ME 03904
York County (207) 439-4430
EMILY P APPLETON PA-C, ATC
Physician Assistant
35 WALKER ST
KITTERY, ME 03904
York County (207) 439-4430
JENNIFER M REGAN NP
Nurse Practitioner (Primary Care)
35 WALKER ST
KITTERY, ME 03904
York County (781) 665-7557

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 Nicholas Coppins's NPI number?

The NPI number for Nicholas Coppins is 1568937159. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Nicholas Coppins located?

Nicholas Coppins practices at 35 Walker St, Kittery, ME 03904. The listed phone number is (207) 439-4430.

What is Nicholas Coppins's specialty?

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

Is Nicholas Coppins enrolled in Medicare?

Yes. Nicholas Coppins 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 Nicholas Coppins accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Nicholas Coppins 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.

Is Nicholas Coppins affiliated with any hospitals?

According to CMS data, Nicholas Coppins is affiliated with York Hospital, Wentworth-Douglass Hospital and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Coppins was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.