DR. THERESA MARIE KOPPIE MD
NPI 1881794352
Urology in Portland, OR
About Dr. Theresa Marie Koppie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THERESA MARIE KOPPIE MD (NPI 1881794352) is an individual urology provider in Portland, Oregon, licensed in California (A068661) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of University Of Southern California Keck School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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. Theresa Marie Koppie 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.
Medicare Billing Reassignments
5Medicare enrollment records show Theresa Koppie reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 90 clinicians in this Medicare group
Hermiston, OR 97838
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1295789667 (Oregon)
- 344 clinicians in this Medicare group
Shady Cove, OR 97539
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Providence Health & Services Oregon
- 181 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
Klamath Falls, OR 97601
- Reassigned Medicare billing, Oregon enrollment
- 355 clinicians in this Medicare group
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 14
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORSky Lakes Medical Center
Acute Care Hospitals · Klamath Falls, ORPioneer Memorial Hospital (heppner)
Critical Access Hospitals · Heppner, ORGood Shepherd Medical Center
Critical Access Hospitals · Hermiston, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Theresa Koppie's NPI number?
The NPI number for Theresa Koppie is 1881794352. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is Theresa Koppie located?
Theresa Koppie practices at 3303 SW Bond Ave, Portland, OR 97239. The listed phone number is (503) 346-1500.
What is Theresa Koppie's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Theresa Koppie enrolled in Medicare?
Yes. Theresa Koppie 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 Theresa Koppie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Koppie reassigns Medicare benefits to 5 organizations: Centennial Medical Group Inc. (Roseburg, OR), Good Shepherd Health Care System (Hermiston, OR), Sisters Of Providence In Oregon (Shady Cove, OR), Providence Health & Services - Oregon (Medford, OR) and Sky Lakes Medical Center Inc (Klamath Falls, OR). 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 Theresa Koppie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Koppie accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Theresa Koppie 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 Theresa Koppie affiliated with any hospitals?
According to CMS data, Theresa Koppie is affiliated with Mercy Medical Center, Sky Lakes Medical Center, Pioneer Memorial Hospital (heppner) and Good Shepherd Medical Center.
When was this NPI record last updated?
The NPPES record for Theresa Koppie was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Theresa Marie Koppie, MD · NPI 1881794352
Urology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1881794352 (Entity type: Individual)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** A068661 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3303 SW BOND AVE, Portland, OR 97239-4501
- **Phone:** (503) 346-1500 · **Fax:** (503) 346-1501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Centennial Medical Group Inc. (NPI 1518103274, Roseburg, OR); Good Shepherd Health Care System (NPI 1336198159, Hermiston, OR); Sisters Of Providence In Oregon (NPI 1881770808, Shady Cove, OR); Providence Health & Services - Oregon (NPI 1093976243, Medford, OR); Sky Lakes Medical Center Inc (NPI 1659340370, Klamath Falls, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** August 31, 2011
- **Other identifiers:** Medicaid 1881794352 (WA); Medicaid 500634566 (OR); Medicare UPIN R160070; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1881794352) · Data from the CMS NPPES public registry.