PAUL KUPCHA MD
NPI 1922055177
Orthopaedic Surgery in Wilmington, DE
About Paul Kupcha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL KUPCHA MD (NPI 1922055177) is an individual orthopaedic surgery provider in Wilmington, Delaware, licensed in Delaware (C10004562) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Georgetown University School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Paul Kupcha 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.
Areas of Expertise CMS Part B claims 15
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19808 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 10
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.
WILMINGTON, DE 19808
WILMINGTON, DE 19808
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 Paul Kupcha's NPI number?
The NPI number for Paul Kupcha is 1922055177. It was assigned to this individual provider in the NPPES registry on May 30, 2006.
Where is Paul Kupcha located?
Paul Kupcha practices at 1941 Limestone Rd Suite 101, Wilmington, DE 19808. The listed phone number is (302) 633-3555.
What is Paul Kupcha's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Paul Kupcha enrolled in Medicare?
Yes. Paul Kupcha 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 Paul Kupcha accept?
Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Paul Kupcha 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.
When was this NPI record last updated?
The NPPES record for Paul Kupcha was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
