ANDREA KOPASZ M.D.
NPI 1770698573
Internal Medicine in South Weymouth, MA

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 11, 2021, Nov 10, 2020, Aug 27, 2020 and 4 more (7 updates tracked since 2016).

About Andrea Kopasz M.d. NPPES

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

ANDREA KOPASZ M.D. (NPI 1770698573) is an individual internal medicine provider in South Weymouth, Massachusetts, licensed in Massachusetts (228849) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1770698573
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA KOPASZCredential: M.D.
Location Address55 FOGG RDSouth Weymouth, MA 02190-2455
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 20, 2006
Last NPPES UpdateNovember 11, 20217 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1770698573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MA · 228849 Licensed in ME · MD22701
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
55 FOGG RD, South Weymouth, MA 02190

Secondary Practice Locations 3

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-8515
Location 255 Lake Ave NWorcester, MA 01655 · Phone (774) 441-6767 · Fax (774) 441-6787
Location 31 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937

Other Identifiers 2

Other208M00000XTaxonomy
Other208M00000XME · Taxonomy

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

Andrea Kopasz M.d. 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 ID7214939404
PECOS Enrollment IDI20070131000482, I20190204001647
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
410 services244 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
90 services90 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
85 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services59 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk 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 02190 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Andrea Kopasz's NPI number?

The NPI number for Andrea Kopasz is 1770698573. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Andrea Kopasz located?

Andrea Kopasz practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Andrea Kopasz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Kopasz enrolled in Medicare?

Yes. Andrea Kopasz 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 Andrea Kopasz accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrea Kopasz 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 Andrea Kopasz affiliated with any hospitals?

According to CMS data, Andrea Kopasz is affiliated with Lawrence General Hospital, South Shore Hospital and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Kopasz was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.