DR. STEVEN GEORGE KOOPMAN M.D.
NPI 1811199573
Urology in Chicago, IL

Q: What is Steven Koopman's NPI number?

The NPI number for Steven Koopman is 1811199573. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Q: What is Steven Koopman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Steven Koopman was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5215 N CALIFORNIA AVE, STE. F803, CHICAGO, IL 60625(773) 878-7555 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Steven George Koopman M.d. NPPES

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

DR. STEVEN GEORGE KOOPMAN M.D. (NPI 1811199573) is an individual urology provider in Chicago, Illinois, licensed in Illinois (036133140) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Alabama School Of Medicine (2006).

NPPES Registry Identity

NPI1811199573

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. STEVEN GEORGE KOOPMANCredential: M.D.

Location Address5215 N CALIFORNIA AVE, STE. F803Chicago, IL 60625-7014

Mailing Address5215 N California Ave, Ste. F803Chicago, IL 60625-7014 · (773) 878-7555

Phone(773) 878-7555

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2006

Enumeration DateJune 4, 2007

Last NPPES UpdateJuly 12, 2019

✔ NPI 1811199573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 036133140

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5215 N CALIFORNIA AVE, Chicago, IL 60625

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Accepted Insurance

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

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

Dr. Steven George Koopman 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 ID446438261

PECOS Enrollment IDI20130723000750, I20200207000059

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.

Medicare Billing Reassignments

Medicare enrollment records show Steven Koopman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uropartners, LLC

Same address

Urology

5215 N CALIFORNIA AVE, STE. F803
Chicago, IL 60625

Reassigned Medicare billing, Illinois and Wisconsin enrollments
Also billed through NPI 1285688218 (Wisconsin)
126 clinicians in this Medicare group

NPI 1356395321 (773) 878-7555

Saint Anthony Health Affiliates

7.9 mi

Multi-Specialty

1340 S DAMEN AVE
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
210 clinicians in this Medicare group

NPI 1881086064 (773) 484-1000

Insight Chicago, Inc.

9.8 mi

Internal Medicine

2525 S MICHIGAN AVE
Chicago, IL 60616

Reassigned Medicare billing, Illinois enrollment
354 clinicians in this Medicare group

NPI 1881261006 (312) 567-2000

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 22

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 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.

341 services226 patients

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.

341 services216 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

279 services208 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

202 services132 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

137 services95 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

132 services18 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

81 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

44 services42 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.

44 services44 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

41 services41 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

38 services34 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

38 services38 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

33 services22 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

31 services31 patients

Other procedure on male genital system 55899

This procedure refers to a variety of medical interventions on the male reproductive system. It could be diagnostic, therapeutic, or preventive. It's done to maintain or improve reproductive health. It's always performed by a skilled medical professional.

31 services31 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

27 services13 patients

Ultrasound scan of pelvic region through rectum 76872

26 services26 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.

24 services24 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

19 services16 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

18 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

18 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140202

Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

MIROSLAWA MICHALCZYK

Registered Nurse

5215 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 561-5809

LUTHERAN SOCIAL SERVICES OF ILLINOIS

Clinic/Center (Mental Health (Including Community Mental Health Center))

5215 N CALIFORNIA AVE, SUITE F101
CHICAGO, IL 60625

Cook County (773) 989-1609

NICOLE REA

Social Worker

5215 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 989-1609

DANIEL SETH MERRICK MD

Urology

5215 N CALIFORNIA AVE, STE F803
CHICAGO, IL 60625

Cook County (773) 878-7555

MATTHEW AARON MEADOWS MD

Urology

5215 N CALIFORNIA AVE, SUITE F803
CHICAGO, IL 60625

Cook County (773) 878-7555

RYAN GRANT SALZMAN DO

Student in an Organized Health Care Education/Training Program

5215 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

DR. IRYNA ALEKSANDROVA MD

Family Medicine

5215 N CALIFORNIA AVE, 604
CHICAGO, IL 60625

Cook County (773) 878-3627

DAYEON KANG DO

Family Medicine

5215 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 989-3808

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 Steven Koopman's NPI number?

The NPI number for Steven Koopman is 1811199573. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Steven Koopman located?

Steven Koopman practices at 5215 N California Ave Ste. F803, Chicago, IL 60625. The listed phone number is (773) 878-7555.

What is Steven Koopman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Steven Koopman enrolled in Medicare?

Yes. Steven Koopman 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 organizations bill Medicare for Steven Koopman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Koopman reassigns Medicare benefits to 3 organizations: Uropartners, LLC (Chicago, IL), Saint Anthony Health Affiliates (Chicago, IL) and Insight Chicago, Inc. (Chicago, IL). Each 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 Steven Koopman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Koopman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Steven Koopman 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 Steven Koopman affiliated with any hospitals?

According to CMS data, Steven Koopman is affiliated with Northshore University Healthsystem - Evanston Hospital, Presence Saint Francis Hospital, Swedish Hospital, Advocate Illinois Masonic Medical Center and Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Koopman was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.