DR. DOUGLAS E COPLEN MD
NPI 1972529295
Urology - Pediatric Urology in Saint Louis, MO

Q: What is Douglas Coplen's NPI number?

The NPI number for Douglas Coplen is 1972529295. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Douglas Coplen's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Coplen was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

1 CHILDRENS PL, DIV SURG UROLOGY PED, STE 2A, SAINT LOUIS, MO 63110(314) 454-6034(314) 454-2876 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Douglas E Coplen Md NPPES

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

DR. DOUGLAS E COPLEN MD (NPI 1972529295) is an individual pediatric urology provider in Saint Louis, Missouri, licensed in Missouri (105433) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1972529295

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. DOUGLAS E COPLENCredential: MD

Location Address1 CHILDRENS PL, DIV SURG UROLOGY PED, STE 2ASaint Louis, MO 63110-1002

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6034 · Fax (314) 454-2876

Phone(314) 454-6034

Fax(314) 454-2876

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1985

Enumeration DateJuly 14, 2006

Last NPPES UpdateApril 17, 20255 updates tracked since enumeration

✔ NPI 1972529295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in MO · 105433

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

1 CHILDRENS PL, Saint Louis, MO 63110

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Other Identifiers 1

Medicaid206977308MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, Medica.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. Douglas E Coplen 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 ID2769559699

PECOS Enrollment IDI20080919000050

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 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.

79.29/100

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

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims890 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers26 claims6,427 services$1.64 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

3 suppliers16 claims20 services$8.11 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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

HANNAH EDELMAN MD, PHD

Psychiatry & Neurology (Neurology)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

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 Douglas Coplen's NPI number?

The NPI number for Douglas Coplen is 1972529295. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Douglas Coplen located?

Douglas Coplen practices at 1 Childrens Pl Div Surg Urology Ped, Ste 2A, Saint Louis, MO 63110. The listed phone number is (314) 454-6034.

What is Douglas Coplen's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Douglas Coplen enrolled in Medicare?

Yes. Douglas Coplen 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 Douglas Coplen accept?

Health plans from Cox HealthPlans and Medica list Douglas Coplen 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 Douglas Coplen was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.