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DR. SHARDUL KOPPAR D.O.
NPI 1942756895
Family Medicine in Panama City, FL

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
3232 E 15TH ST, PANAMA CITY, FL 32405(850) 532-5157 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2025, Jan 2, 2025, Sep 23, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Shardul Koppar D.o. NPPES

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

DR. SHARDUL KOPPAR D.O. (NPI 1942756895) is an individual family medicine provider in Panama City, Florida, licensed in Florida (OS21535) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (2016).

NPPES Registry Identity

NPI1942756895
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHARDUL KOPPARCredential: D.O.
Location Address3232 E 15TH STPanama City, FL 32405-7423
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198 · (904) 293-0299
Phone(850) 532-5157
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2016
Enumeration DateAugust 31, 2016
Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1942756895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS21535
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3232 E 15TH ST, Panama City, FL 32405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Shardul Koppar D.o. 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 ID6507293875
PECOS Enrollment IDI20250114004109
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 Reassignments

4

Medicare enrollment records show Shardul Koppar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Doctors Intrastate LLC
259 mi
Primary Care
100 ARRICOLA AVE
Saint Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1568083889 (904) 825-4368
Roy H Hinman MD PA
259 mi
Family Medicine
100 ARRICOLA AVENUE
St Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1649383845 (904) 825-4368
Brookview Medical Associates, PLLC
1,014 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Mikram Jafri MD PC
1,093 mi
Internal Medicine
100 NEW TURNPIKE RD
Troy, NY 12182
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1831800747 (518) 235-1410

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 9

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
364 services160 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
136 services57 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
108 services107 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
104 services89 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
78 services58 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
63 services34 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$23.64 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$9.41 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier22 claims1,936 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims644 services$6.49 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims360 services$2.43 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims218 services$6.70 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 2

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

RJ GAMAD M.D.,P.A.
Family Medicine
3232 E 15TH ST
PANAMA CITY, FL 32405
Bay County (850) 769-1533
R J GAMAD M.D.,P.A.
Family Medicine
3232 E 15TH ST
PANAMA CITY, FL 32405
Bay County (850) 769-1533

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 Shardul Koppar's NPI number?

The NPI number for Shardul Koppar is 1942756895. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Shardul Koppar located?

Shardul Koppar practices at 3232 E 15th St, Panama City, FL 32405. The listed phone number is (850) 532-5157.

What is Shardul Koppar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shardul Koppar enrolled in Medicare?

Yes. Shardul Koppar 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 Shardul Koppar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shardul Koppar reassigns Medicare benefits to 4 organizations: Island Doctors Intrastate LLC (Saint Augustine, FL), Roy H Hinman MD PA (St Augustine, FL), Brookview Medical Associates, PLLC (Bohemia, NY) and Mikram Jafri MD PC (Troy, NY). 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 Shardul Koppar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shardul Koppar accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shardul Koppar 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 Shardul Koppar affiliated with any hospitals?

According to CMS data, Shardul Koppar is affiliated with Hca Florida Gulf Coast Hospital.

When was this NPI record last updated?

The NPPES record for Shardul Koppar was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.