JEFF KOPELMAN
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in ROCKVILLE CTRE, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JEFF KOPELMAN reported a CMS MIPS final score of 96.0723/100 — above the 83.1 national average — and filed 1,260 Medicare Part D claims in 2023.
- 96.0723/100
- MIPS score · +13 vs avg
- 1K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
JEFF KOPELMAN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
96 Top 17% higher than 83% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
JEFF KOPELMAN practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about JEFF KOPELMAN?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among New York providers
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within New York
Plastic Surgery within the Head & Neck (Otolaryngology) Physician is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
JEFF KOPELMAN's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average
- MIPS Final Score
- 96.0723/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 96.0723/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Plastic Surgery within the Head & Neck (Otolaryngology) Physician US NPIs
96.0723/100 MIPS final score — 13.0 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Quality dim: 85.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
JEFF KOPELMAN appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider at 371 MERRICK RD, ROCKVILLE CTRE, NY, 11570, with a listed phone of (516) 536-4444. NPI 1851363055 was issued on 02/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOPELMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 1,260 prescription claims written by this provider, covering 319 Medicare beneficiaries and totaling roughly $22K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.0723/100 for the 2023 performance year (Quality 85), compared with the national average of 83.1.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1851363055 |
|---|---|
| Specialty | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| Gender | Male |
| NPI Issued | 02/02/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JEFF KOPELMAN's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Industry payments received (2024) — CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JEFF KOPELMAN. Source: openpaymentsdata.cms.gov.
Total received
$67
Largest payer
GlaxoSmithKline, LLC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context — New York NYSBPMC 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to JEFF KOPELMAN. To verify JEFF KOPELMAN's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,471
- Total Day Supply
- 38,771
- Generic Drug Cost
- $22K
- Antibiotic Claims
- 138
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 46, 65-74: 141, 75-84: 100, 85+: 32
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What JEFF KOPELMAN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
493 claims
- Omeprazole 162
Omeprazole
162 claims
- Famotidine 72
Famotidine
72 claims
- Amoxicillin-Clavul… 70
Amoxicillin-Clavulanate Potass
70 claims
- Levocetirizine Dih… 66
Levocetirizine Dihydrochloride
66 claims
- Ofloxacin 44
Ofloxacin
44 claims
- Ipratropium Bromide 37
Ipratropium Bromide
37 claims
- Azelastine Hcl 31
Azelastine Hcl
31 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 493 |
| Omeprazole | 162 |
| Famotidine | 72 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 70 |
| Levocetirizine Dihydrochloride | 66 |
| Ofloxacin | 44 |
| Ipratropium Bromide | 37 |
| Azelastine Hcl | 31 |
| Methylprednisolone | 26 |
| Montelukast Sodium | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview
How JEFF KOPELMAN fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.
JEFF KOPELMAN's 1,260 claims are above the specialty average of 379.
Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as KOPELMAN.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology