JEFFREY M. KOPITA M.D.
NPI 1821034257
Internal Medicine - Pulmonary Disease in Dallas, TX

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
3600 GASTON AVE, SUITE 960, DALLAS, TX 75246(214) 820-5630(214) 820-9818 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey M. Kopita M.d. NPPES

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

JEFFREY M. KOPITA M.D. (NPI 1821034257) is an individual pulmonary disease provider in Dallas, Texas, licensed in Texas (J8018) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Toledo College Of Medicine (1989).

NPPES Registry Identity

NPI1821034257
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJEFFREY M. KOPITACredential: M.D.
Location Address3600 GASTON AVE, SUITE 960Dallas, TX 75246-1800
Mailing Address3600 Gaston Ave, Suite 960Dallas, TX 75246-1800 · (214) 820-5630 · Fax (214) 820-9818
Fax(214) 820-9818
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1989
Enumeration DateJune 22, 2006
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1821034257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · J8018
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License J8018 (TX)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License J8018 (TX)
3600 GASTON AVE, Dallas, TX 75246

Other Identifiers 5

Medicaid1185258-04TX
Other8BN465TX · Bcbs
Other83301XTX · Bcbs
Medicaid118525801TX
Medicaid118525805TX

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

Jeffrey M. Kopita 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 ID5193768950
PECOS Enrollment IDI20080925000367
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 12

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, 30-39 minutes 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.
580 services311 patients
New patient office or other outpatient visit, 45-59 minutes 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.
145 services145 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
117 services116 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
107 services81 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
99 services98 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
88 services88 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers117 claims117 services$31.39 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers12 claims12 services$12.81 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
4 suppliers12 claims12 services$1.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
18 suppliers102 claims102 services$76.14 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers104 claims294 services$29.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers78 claims428 services$16.61 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3600 GASTON AVE, STE 964
DALLAS, TX 75246
Pathology (Anatomic Pathology & Clinical Pathology)
3600 GASTON AVE, WADLEY TOWER, #261
DALLAS, TX 75246
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3600 GASTON AVE, STE 404
DALLAS, TX 75246
Neurological Surgery
3600 GASTON AVE, STE 1158-WADLEY
DALLAS, TX 75246
Orthopaedic Surgery
3600 GASTON AVE, STE 1101
DALLAS, TX 75246
Orthopaedic Surgery
3600 GASTON AVE, SUITE 1101
DALLAS, TX 75246
Internal Medicine (Pulmonary Disease)
3600 GASTON AVE, SUITE 806
DALLAS, TX 75246
Specialist
3600 GASTON AVE, SUITE 450
DALLAS, TX 75246

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 Jeffrey Kopita's NPI number?

The NPI number for Jeffrey Kopita is 1821034257. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Jeffrey Kopita located?

Jeffrey Kopita practices at 3600 Gaston Ave Suite 960, Dallas, TX 75246. The listed phone number is (214) 820-5630.

What is Jeffrey Kopita's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jeffrey Kopita enrolled in Medicare?

Yes. Jeffrey Kopita 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 Jeffrey Kopita accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Jeffrey Kopita 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 Jeffrey Kopita affiliated with any hospitals?

According to CMS data, Jeffrey Kopita is affiliated with Baylor University Medical Center, Baylor Scott & White Medical Center- Waxahachie and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Jeffrey Kopita was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.