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SCOTT H COPPEL MD
NPI 1801326681
Internal Medicine in Chicago, IL

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
5401 S WENTWORTH AVE, CHICAGO, IL 60609(773) 288-6900 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2020, Aug 21, 2020, Jun 29, 2017 and 1 more (4 updates tracked since 2017).

About Scott H Coppel Md NPPES

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

SCOTT H COPPEL MD (NPI 1801326681) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036.153996) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Insight Hospital And Medical Center Chicago, and is a graduate of Wayne State University School Of Medicine (2017).

NPPES Registry Identity

NPI1801326681
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSCOTT H COPPELCredential: MD
Location Address5401 S WENTWORTH AVEChicago, IL 60609-6300
Mailing Address1407 S Michigan Ave Apt 1411Chicago, IL 60605-2836 · (614) 746-2029
Phone(773) 288-6900
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1801326681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.153996
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11019407A (IN)
5401 S WENTWORTH AVE, Chicago, IL 60609
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Other Identifiers 1

Other036.153996IL · Illinois Department Of Financial And Professional Regulation

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Scott H Coppel 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 ID1557630571
PECOS Enrollment IDI20201112002291
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 3

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.
122 services67 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.
20 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Insight Hospital And Medical Center Chicago

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140158
Location2525 S Michigan AveChicago, IL 60616 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60609 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

AMY RAMIREZ M.D.
Pediatrics
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
MARVIN LORA DC
Chiropractor
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (312) 878-9172
GABRIELLE BROWNE
Physician Assistant
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
BREA REBECCA HARRIS WHNP-BC
Nurse Practitioner (Women's Health)
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
BARBARA ANN ZIMMERMAN MINNICH C.N.M.
Advanced Practice Midwife
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
ACCESS COMMUNITY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 268-6900
DYNAMIC DENTAL SERVICES, P.C.
Dentist (General Practice)
5401 S WENTWORTH AVE, SUITE 200
CHICAGO, IL 60609
Cook County (773) 538-6191
ELLEN CHRISTINE SEYMOUR AGNP-C
Nurse Practitioner (Adult Health)
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900

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 Scott Coppel's NPI number?

The NPI number for Scott Coppel is 1801326681. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Scott Coppel located?

Scott Coppel practices at 5401 S Wentworth Ave, Chicago, IL 60609. The listed phone number is (773) 288-6900.

What is Scott Coppel's specialty?

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

Is Scott Coppel enrolled in Medicare?

Yes. Scott Coppel 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 Scott Coppel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Scott Coppel 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 Scott Coppel affiliated with any hospitals?

According to CMS data, Scott Coppel is affiliated with Insight Hospital And Medical Center Chicago.

When was this NPI record last updated?

The NPPES record for Scott Coppel was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.