SHERI KOPLIK M.D.
NPI 1902959612
Internal Medicine - Cardiovascular Disease in Mission Viejo, CA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
26800 CROWN VALLEY PKWY, SUITE 250, MISSION VIEJO, CA 92691(949) 364-3570(949) 364-3430 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Oct 28, 2020, Dec 13, 2016 (3 updates tracked since 2016).

About Sheri Koplik M.d. NPPES

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

SHERI KOPLIK M.D. (NPI 1902959612) is an individual cardiovascular disease provider in Mission Viejo, California, licensed in California (A96659) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1902959612
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSHERI KOPLIKCredential: M.D.
Location Address26800 CROWN VALLEY PKWY, SUITE 250Mission Viejo, CA 92691-6384
Mailing Address26800 Crown Valley Pkwy, Suite 250Mission Viejo, CA 92691-6384 · (949) 364-3570 · Fax (949) 364-3430
Fax(949) 364-3430
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 18, 2007
Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1902959612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A96659
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License A96659 (CA)
26800 CROWN VALLEY PKWY, Mission Viejo, CA 92691

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

Sheri Koplik 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 ID6901983618
PECOS Enrollment IDI20080404000644
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 33

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,495 services1,198 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.
1,001 services465 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
294 services264 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
230 services229 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
214 services207 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
212 services210 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier14 claims14 services$2,082.28 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.

Specialist
26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691
Podiatrist (Foot & Ankle Surgery)
26800 CROWN VALLEY PKWY, SUITE 320
MISSION VIEJO, CA 92691
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691
Emergency Medicine
26800 CROWN VALLEY PKWY, SUITE 150
MISSION VIEJO, CA 92691
Obstetrics & Gynecology
26800 CROWN VALLEY PKWY, SUITE 525
MISSION VIEJO, CA 92691
Dentist (Periodontics)
26800 CROWN VALLEY PKWY, STE 375
MISSION VIEJO, CA 92691
Internal Medicine (Cardiovascular Disease)
26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691
Internal Medicine (Nephrology)
26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691

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 Sheri Koplik's NPI number?

The NPI number for Sheri Koplik is 1902959612. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Sheri Koplik located?

Sheri Koplik practices at 26800 Crown Valley Pkwy Suite 250, Mission Viejo, CA 92691. The listed phone number is (949) 364-3570.

What is Sheri Koplik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sheri Koplik enrolled in Medicare?

Yes. Sheri Koplik 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 Sheri Koplik was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.