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DR. MICHAEL CARL KOPRUCKI MD
NPI 1902069115
Internal Medicine - Nephrology in Youngstown, OH

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
1340 BELMONT AVE, SUITE 2300, YOUNGSTOWN, OH 44504(330) 746-1488(330) 746-5611 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Carl Koprucki Md NPPES

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

DR. MICHAEL CARL KOPRUCKI MD (NPI 1902069115) is an individual nephrology provider in Youngstown, Ohio, licensed in Ohio (35098982) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2007).

NPPES Registry Identity

NPI1902069115
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MICHAEL CARL KOPRUCKICredential: MD
Location Address1340 BELMONT AVE, SUITE 2300Youngstown, OH 44504-1125
Mailing Address1340 Belmont Ave, Suite 2300Youngstown, OH 44504-1125 · (330) 746-1488 · Fax (330) 746-5611
Phone(330) 746-1488
Fax(330) 746-5611
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2007
Enumeration DateJuly 8, 2008
Last NPPES UpdateApril 3, 2014
✔ NPI 1902069115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OH · 35098982✔ Licensed in PA · MD445026
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1340 BELMONT AVE, Youngstown, OH 44504
Open in Google Maps ↗

Other Identifiers 4

Medicaid0086348OH
Medicaid10287522100002PA
Medicare OSCAR/certification241709K0SPA
Medicare OSCAR/certificationH099270OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, UnitedHealthcare.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 Carl Koprucki 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.

PECOS PAC ID2365607132
PECOS Enrollment IDI20120628000198, I20120628000463
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
735 services182 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.
152 services113 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.
96 services70 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
78 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services72 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Sharon Regional Health System

Acute Care Hospitals · Sharon, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390211
Location740 East State StreetSharon, PA 16146 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 15

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

DONALD JOSEPH TAMULONIS JR. MD
Psychiatry & Neurology (Neurology)
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
ADVANCED NEUROLOGY ASSOCIATES INC
Neuromusculoskeletal Medicine & OMM
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
LEONIDAS G VASSILAROS M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
RENEE SFERRA CNS
Clinical Nurse Specialist (Adult Health)
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
SHERIF A SOLIMAN M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
NATHANIEL S DOE M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
PHYSICIANS DIALYSIS COMPANY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1340 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-2860
JESSE V MCCLAIN CNS
Clinical Nurse Specialist (Adult Health)
1340 BELMONT AVE, STE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400

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 Koprucki's NPI number?

The NPI number for Michael Koprucki is 1902069115. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Michael Koprucki located?

Michael Koprucki practices at 1340 Belmont Ave Suite 2300, Youngstown, OH 44504. The listed phone number is (330) 746-1488.

What is Michael Koprucki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Michael Koprucki enrolled in Medicare?

Yes. Michael Koprucki 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 Koprucki accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Michael Koprucki 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 Koprucki affiliated with any hospitals?

According to CMS data, Michael Koprucki is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Upmc Jameson, Upmc Horizon and Sharon Regional Health System.

When was this NPI record last updated?

The NPPES record for Michael Koprucki was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.