DR. MICHAEL T. KOPEC M.D.
NPI 1821225764
Family Medicine in Seattle, WA

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
10521 MERIDIAN AVE N, SEATTLE, WA 98133(206) 296-4990(206) 205-5142 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2021, Nov 1, 2018, Jan 19, 2018 (3 updates tracked since 2018).

About Dr. Michael T. Kopec M.d. NPPES

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

DR. MICHAEL T. KOPEC M.D. (NPI 1821225764) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD60277280) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Wayne State University School Of Medicine (2009).

NPPES Registry Identity

NPI1821225764
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL T. KOPECCredential: M.D.
Location Address10521 MERIDIAN AVE NSeattle, WA 98133-9509
Mailing AddressPo Box 3835Seattle, WA 98124-3835 · (206) 548-3114 · Fax (206) 762-6355
Fax(206) 205-5142
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateJune 16, 20213 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
NPI 1821225764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD60277280
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.
10521 MERIDIAN AVE N, Seattle, WA 98133

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

Dr. Michael T. Kopec 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 ID2567610058
PECOS Enrollment IDI20210813002357
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 4

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.
107 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services16 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.
17 services17 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.73 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.

Dentist
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Dentist
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Student in an Organized Health Care Education/Training Program
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Advanced Practice Midwife
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Dentist
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Social Worker (Clinical)
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Counselor (Addiction (Substance Use Disorder))
10521 MERIDIAN AVE N
SEATTLE, WA 98133
Counselor
10521 MERIDIAN AVE N
SEATTLE, WA 98133

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 Michael Kopec's NPI number?

The NPI number for Michael Kopec is 1821225764. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Michael Kopec located?

Michael Kopec practices at 10521 Meridian Ave N, Seattle, WA 98133. The listed phone number is (206) 296-4990.

What is Michael Kopec's specialty?

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

Is Michael Kopec enrolled in Medicare?

Yes. Michael Kopec 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 Michael Kopec accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Michael Kopec 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 Michael Kopec affiliated with any hospitals?

According to CMS data, Michael Kopec is affiliated with Sentara Norfolk General Hospital and Bon Secours Maryview Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Kopec was last updated on June 16, 2021. 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.