DR. DOUGLAS E COPLEN MD
NPI 1972529295
Urology - Pediatric Urology in Saint Louis, MO
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
Specialties & Licenses
Other Identifiers 1
Accepted 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. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Douglas Coplen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 45 clinicians in this Medicare group
Saint Louis, MO 63108
- Reassigned Medicare billing, Illinois enrollment
- 530 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 95 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 3
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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.
Which organizations bill Medicare for Douglas Coplen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Coplen reassigns Medicare benefits to 5 organizations: Washington University (Saint Louis, MO), Washington University Physicians In Illinois, Inc (Saint Louis, MO), Shriners Hospitals For Children (Saint Louis, MO), Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO) and Lester E Cox Medical Centers (Springfield, MO). 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 Douglas Coplen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Coplen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield and Cox HealthPlans and 2 other insurers 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 18 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.
# Dr. Douglas E Coplen, MD · NPI 1972529295
Pediatric Urology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1972529295 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Urology - Pediatric Urology · taxonomy 2088P0231X
- **State license:** 105433 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, DIV SURG UROLOGY PED, STE 2A, Saint Louis, MO 63110-1002
- **Phone:** (314) 454-6034 · **Fax:** (314) 454-2876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1760425474, Saint Louis, MO); Washington University Physicians In Illinois, Inc (NPI 1457203135, Saint Louis, MO); Shriners Hospitals For Children (NPI 1275970295, Saint Louis, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO); Lester E Cox Medical Centers (NPI 1851799555, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 206977308 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1972529295) · Data from the CMS NPPES public registry.