Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BENJAMIN JOSEPH KOPP MD
NPI 1932633484
Orthopaedic Surgery in Kyle, TX

Q: What is Benjamin Kopp's NPI number?

The NPI number for Benjamin Kopp is 1932633484. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is Benjamin Kopp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Kopp was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment

91.5/100

CMS Quality Rating

5103 KYLE CENTER DR STE 104, KYLE, TX 78640(512) 324-9170(737) 233-5018 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Feb 6, 2026, Jan 14, 2026 and 3 more (6 updates tracked since 2017).

On this page

About Mr. Benjamin Joseph Kopp Md NPPES

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

MR. BENJAMIN JOSEPH KOPP MD (NPI 1932633484) is an individual orthopaedic surgery provider in Kyle, Texas, licensed in Texas (S0315) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2017).

NPPES Registry Identity

NPI1932633484

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMR. BENJAMIN JOSEPH KOPPCredential: MD

Location Address5103 KYLE CENTER DR STE 104Kyle, TX 78640-6164

Mailing Address5103 Kyle Center Dr Ste 104Kyle, TX 78640-6164 · (512) 324-9170 · Fax (737) 233-5018

Phone(512) 324-9170

Fax(737) 233-5018

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2017

Enumeration DateApril 11, 2017

Last NPPES UpdateOctober 6, 20266 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1932633484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · S0315

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License S0315 (TX)

5103 KYLE CENTER DR STE 104, Kyle, TX 78640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.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

Mr. Benjamin Joseph Kopp 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 ID1951739846

PECOS Enrollment IDI20230609002863

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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Kopp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthotennessee, PC

872 mi

Orthopaedic Surgery

1855 TANNER WAY STE 110
Harriman, TN 37748

Reassigned Medicare billing, Tennessee enrollment
115 clinicians in this Medicare group

NPI 1144513029 (865) 481-2541

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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

880 services83 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

261 services194 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

127 services88 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

119 services94 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

116 services94 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

105 services75 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.

49 services47 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 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.

21 services21 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

19 services14 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

16 services15 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440011

Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County

Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

91.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

80.84

Other Providers at the Same Location NPPES 3

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

MRS. TAYLOR SUE KONYNENBELT PA-C

Physician Assistant

5103 KYLE CENTER DR STE 104
KYLE, TX 78640

Hays County (512) 504-0866

ADRIENNE FAYETTE NASH APRN, ACNPC-AG

Nurse Practitioner (Acute Care)

5103 KYLE CENTER DR STE 104
KYLE, TX 78640

Hays County (512) 504-0893

MOUSUMI CHANDA-KIM MD

Internal Medicine

5103 KYLE CENTER DR STE 104
KYLE, TX 78640

Hays County (512) 504-0855

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 Benjamin Kopp's NPI number?

The NPI number for Benjamin Kopp is 1932633484. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Benjamin Kopp located?

Benjamin Kopp practices at 5103 Kyle Center Dr Ste 104, Kyle, TX 78640. The listed phone number is (512) 324-9170.

What is Benjamin Kopp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Kopp enrolled in Medicare?

Yes. Benjamin Kopp 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 organization bills Medicare for Benjamin Kopp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Kopp reassigns Medicare benefits to Orthotennessee, PC (Harriman, TN). The 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 Benjamin Kopp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Kopp accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Benjamin Kopp 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 Benjamin Kopp affiliated with any hospitals?

According to CMS data, Benjamin Kopp is affiliated with Blount Memorial Hospital, University Health System, Inc, Physicians Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Kopp was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.