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MELISSA KOPPELMAN DO
NPI 1790225423
Family Medicine in Thornville, OH

Active since February 28, 2017PECOS EnrolledAccepts Medicare Assignment
41 FOSTER DR, THORNVILLE, OH 43076(740) 246-6361(740) 246-5722 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2020, Aug 1, 2017, Feb 28, 2017 (3 updates tracked since 2017).

About Melissa Koppelman Do NPPES

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

MELISSA KOPPELMAN DO (NPI 1790225423) is an individual family medicine provider in Thornville, Ohio, licensed in Ohio (34.014432) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1790225423
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELISSA KOPPELMANCredential: DO
Location Address41 FOSTER DRThornville, OH 43076-8010
Mailing Address41 Foster DrThornville, OH 43076-8010 · (740) 246-6361
Phone(740) 246-6361
Fax(740) 246-5722
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017
Enumeration DateFebruary 28, 2017
Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1790225423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.014432
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.
41 FOSTER DR, Thornville, OH 43076
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Other Names 1

Former Name (1)Melissa De Nijs Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Melissa Koppelman Do 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 ID4183997877
PECOS Enrollment IDI20200605001316
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.

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.
204 services119 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
65 services65 patients
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.
62 services62 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services27 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.
28 services26 patients
Influenza vaccine, quadrivalent derived from cell cultures 90756
The quadrivalent influenza vaccine, derived from cell cultures, is a flu shot that protects against four different flu viruses. It's made in labs using cell cultures instead of eggs, making it a good option for those with egg allergies. It's a crucial tool in preventing the flu.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43076 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers12 claims38 services$6.22 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.

DR. LARRY IRA COWAN D.O.
Family Medicine
41 FOSTER DR
THORNVILLE, OH 43076
Perry County (740) 246-6361
SHELBY K RAISER DO
Family Medicine
41 FOSTER DR
THORNVILLE, OH 43076
Perry County (740) 246-6361
THORNVILLE FAMILY MEDICAL CENTER INC
Family Medicine
41 FOSTER DR
THORNVILLE, OH 43076
Perry County (740) 246-6361

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 Melissa Koppelman's NPI number?

The NPI number for Melissa Koppelman is 1790225423. It was assigned to this individual provider in the NPPES registry on February 28, 2017. The provider is also known as Melissa De Nijs Do.

Where is Melissa Koppelman located?

Melissa Koppelman practices at 41 Foster Dr, Thornville, OH 43076. The listed phone number is (740) 246-6361.

What is Melissa Koppelman's specialty?

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

Is Melissa Koppelman enrolled in Medicare?

Yes. Melissa Koppelman 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 Melissa Koppelman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Melissa Koppelman 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 Melissa Koppelman affiliated with any hospitals?

According to CMS data, Melissa Koppelman is affiliated with Genesis Hospital, Fairfield Medical Center and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Koppelman was last updated on August 6, 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.