TATYANA KOPILOVA M.D.
NPI 1841712817
Surgery in Santa Rosa, CA

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY FL 22, SANTA ROSA, CA 95403(707) 393-3321 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Jul 12, 2017 (2 updates tracked since 2017).

About Tatyana Kopilova M.d. NPPES

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

TATYANA KOPILOVA M.D. (NPI 1841712817) is an individual surgery provider in Santa Rosa, California, licensed in California (159268) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Florida Atlantic University, College Of Medicine (2017).

NPPES Registry Identity

NPI1841712817
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameTATYANA KOPILOVACredential: M.D.
Location Address401 BICENTENNIAL WAY FL 22Santa Rosa, CA 95403-2149
Mailing Address400 West Pueblo Street, Santa Barbara Cottage HospitalSanta Barbara, CA 93104 · (805) 569-7316 · Fax (805) 569-7317
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2017
Enumeration DateJuly 12, 2017
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1841712817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · 159268
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
401 BICENTENNIAL WAY FL 22, Santa Rosa, CA 95403

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

Tatyana Kopilova 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 ID4789052556
PECOS Enrollment IDI20221129001469
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Tatyana Kopilova's NPI number?

The NPI number for Tatyana Kopilova is 1841712817. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Tatyana Kopilova located?

Tatyana Kopilova practices at 401 Bicentennial Way Fl 22, Santa Rosa, CA 95403. The listed phone number is (707) 393-3321.

What is Tatyana Kopilova's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tatyana Kopilova enrolled in Medicare?

Yes. Tatyana Kopilova 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.

When was this NPI record last updated?

The NPPES record for Tatyana Kopilova was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.