JOHN R KOPACEK CRNA
NPI 1669607180
Nurse Anesthetist, Certified Registered in Portland, OR
About John R Kopacek Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN R KOPACEK CRNA (NPI 1669607180) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (201260009CRNA) and active in the NPI registry since May 2009. He is affiliated with Ohsu Hospital And Clinics and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John R Kopacek Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show John Kopacek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 279 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 John Kopacek's NPI number?
The NPI number for John Kopacek is 1669607180. It was assigned to this individual provider in the NPPES registry on May 28, 2009.
Where is John Kopacek located?
John Kopacek practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is John Kopacek's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Kopacek enrolled in Medicare?
Yes. John Kopacek 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.
Which organization bills Medicare for John Kopacek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kopacek reassigns Medicare benefits to University Anesthesiology Associates, LLC (Portland, OR). The 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 John Kopacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Kopacek affiliated with any hospitals?
According to CMS data, John Kopacek is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for John Kopacek was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# John R Kopacek, CRNA · NPI 1669607180
Nurse Anesthetist, Certified Registered physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 28, 2009.
## Identity
- **NPI:** 1669607180 (Entity type: Individual)
- **Enumerated:** May 28, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 201260009CRNA (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** University Anesthesiology Associates, LLC (NPI 1841217817, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1669607180) · Data from the CMS NPPES public registry.