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ANTHONY J COPPOLA MD
NPI 1801895917
Internal Medicine - Gastroenterology in Longwood, FL

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
515 W STATE ROAD 434, SUITE 110A, LONGWOOD, FL 32750(407) 260-6000(407) 260-2133 Get Directions Write a Review

NPPES record last updated: August 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony J Coppola Md NPPES

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

ANTHONY J COPPOLA MD (NPI 1801895917) is an individual gastroenterology provider in Longwood, Florida, licensed in Florida (ME54590) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of University Of South Florida College Of Medicine (1987).

NPPES Registry Identity

NPI1801895917
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANTHONY J COPPOLACredential: MD
Location Address515 W STATE ROAD 434, SUITE 110ALongwood, FL 32750-4981
Mailing Address515 W State Road 434, Suite 110aLongwood, FL 32750-4981 · (407) 260-6000 · Fax (407) 260-2133
Phone(407) 260-6000
Fax(407) 260-2133
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1987
Enumeration DateJuly 20, 2005
Last NPPES UpdateAugust 29, 2020
NPPES CertifiedAugust 29, 2020
✔ NPI 1801895917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME54590
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License ME54590 (FL)
515 W STATE ROAD 434, Longwood, FL 32750
Open in Google Maps ↗

Other Identifiers 1

Medicaid370053400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Anthony J Coppola 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 ID1153491071
PECOS Enrollment IDI20100723000867
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 10

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.
248 services207 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
190 services185 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.
111 services111 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
92 services87 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
69 services68 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.
60 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%2,687 patients5/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
66%74 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%5,839 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%4,118 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,303 patients
Patients tobacco: 95% · 1,303 patients
24%85 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SUSAN TOTH D.O.P.A.
Family Medicine
515 W STATE ROAD 434, SUITE 308
LONGWOOD, FL 32750
Seminole County (407) 831-2000
LONGWOOD FAMILY MEDICINE PA
Family Medicine
515 W STATE ROAD 434, SUITE 301
LONGWOOD, FL 32750
Seminole County (407) 786-0004
DR. SUSAN TOTH D.O.
Family Medicine
515 W STATE ROAD 434, SUITE 308
LONGWOOD, FL 32750
Seminole County (407) 831-2000
MICHAEL LEE SAMPSON ARNP
Nurse Practitioner (Adult Health)
515 W STATE ROAD 434, STE 203
LONGWOOD, FL 32750
Seminole County (407) 265-7775
KEMKA S OGBURIA JR. MD
Dermatology (MOHS-Micrographic Surgery)
515 W STATE ROAD 434, SUITE 210
LONGWOOD, FL 32750
Seminole County (407) 332-8080
OLEN A GILES MD
Internal Medicine (Gastroenterology)
515 W STATE ROAD 434, SUITE 110A
LONGWOOD, FL 32750
Seminole County (407) 260-6000
ANTHONY C LIN MD
Specialist
515 W STATE ROAD 434, SUITE 110A
LONGWOOD, FL 32750
Seminole County (407) 260-6000
ADVANCED ANALGESIA AND ANESTHESIA, INC
Pain Medicine (Pain Medicine)
515 W STATE ROAD 434, SUITE 110
LONGWOOD, FL 32750
Seminole County (407) 645-2661

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 Anthony Coppola's NPI number?

The NPI number for Anthony Coppola is 1801895917. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Anthony Coppola located?

Anthony Coppola practices at 515 W State Road 434 Suite 110A, Longwood, FL 32750. The listed phone number is (407) 260-6000.

What is Anthony Coppola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anthony Coppola enrolled in Medicare?

Yes. Anthony Coppola 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 Anthony Coppola accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Health First Commercial Plans, Inc. and 3 other insurers list Anthony Coppola 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 Anthony Coppola affiliated with any hospitals?

According to CMS data, Anthony Coppola is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Anthony Coppola was last updated on August 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.