2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1851363055
Verify on CMS →

Jeff Kopelman

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Rockville Ctre, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 632 in Plastic Surgery within the Head & Neck (Otolaryngology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 352 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 403
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.1/100
▲ 13 pts above national avg 83.5 · Exceptional
Industry payments
$67.31
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Jeff Kopelman reported a CMS MIPS final score of 96.1/100 - above the 83.5 national average - and filed 1,383 Medicare Part D claims in 2024.

96.1/100
MIPS score · +13 vs avg
1K
Part D claims, 2024
>99%
generic prescribing
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.

Federal trust snapshot

What official records show about Jeff Kopelman

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1851363055), first enumerated 02/02/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,383 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 96.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $67.31 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Jeff Kopelman's individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1851363055 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1851363055
  • ENUM-LEGACY 2006
  • TAX-NARROW 632
  • MIPS-ELITE 96.1/100
  • RX-MID 1,383
  • BOOK-THIN 35 in New York
  • PHOTO-FINISH Michael Kim · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Jeff Kopelman's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

96 ≥ 82nd percentile 82% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jeff Kopelman sits

This provider among plastic surgery within the head & neck (otolaryngology) physician peers

Across the 149 plastic surgery within the head & neck (otolaryngology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jeff Kopelman writes more Part D claims than 93% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 90Jeff Kopelman, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 87
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one plastic surgery within the head & neck (otolaryngology) physician peer from a representative sample of 60; the gold marker is Jeff Kopelman. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

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)

NPI registry status

Active

Issued 02/02/2006

NPI 1851363055

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

632 US NPIs in this specialty

Medicare Part D claims

1,383 243% vs specialty avg

2024 prescription claims

Specialty avg: 403

MIPS final score

96.1/100 12.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in New York

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Plastic Surgery within the H…0%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Jeff Kopelman's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

High performer (top quartile)
MIPS Final Score
96.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%96.1%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) - 96.1/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

371 MERRICK RD
Rockville Ctre, NY 11570

Provider Details

NPI 1851363055
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Gender Male
NPI Issued 02/02/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.0723
Final Score
Measured-score avg: 83.5
85
Quality

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.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

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.

Brand vs generic prescribing mix · Generic-heavy

Jeff Kopelman - brand share 1.0%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician average

<1% brand-name claims vs >99% generic, on 1,383 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,383
Total Claims
$34K
Total Drug Cost
352
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,702.8
Total Day Supply
45,843
Brand vs Generic
<1% brand / >99% generic
Brand Drug Cost
$12K
Generic Drug Cost
$22K
Antibiotic Claims
132

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.14
Gender Split
55% female / 45% male
Age Distribution
<65: 57, 65-74: 152, 75-84: 108, 85+: 35

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Jeff Kopelman prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Fluticasone Propionate
532
Levocetirizine Dihydrochloride
139
Omeprazole
131
Ipratropium Bromide
78
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
71
Famotidine
71
Azelastine Hcl
54
Ofloxacin
47
Mupirocin
30
Pantoprazole Sodium
23

* 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.

632
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
403
Avg Claims per Provider

Jeff Kopelman's 1,383 claims are above the specialty average of 403.

Nationwide Plastic Surgery within the Head & Neck (Otolaryngology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Kopelman, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (96.1 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

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.

One of 35 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers enrolled in New York, 5 are shown here.

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Jeff Kopelman's specialty?
Jeff Kopelman specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in Rockville Ctre, New York.
How much does Jeff Kopelman prescribe under Medicare Part D?
In 2024, Jeff Kopelman wrote 1,383 Medicare Part D claims totaling $34K in drug costs for 352 beneficiaries.
What is Jeff Kopelman's Medicare quality score?
Jeff Kopelman has a CMS MIPS Final Score of 96.1/100 (Quality: 85). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jeff Kopelman located?
Jeff Kopelman is located at 371 MERRICK RD, Rockville Ctre, NY, 11570. Phone: (516) 536-4444.
What is Jeff Kopelman's NPI number?
Jeff Kopelman's National Provider Identifier (NPI) is 1851363055, issued on 02/02/2006.
Does Jeff Kopelman prescribe more brand-name or generic drugs?
Jeff Kopelman's prescribing is <1% brand-name and >99% generic drugs by claim count, with $12K in brand drug costs.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 632 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 403 Medicare Part D claims per year.
What drugs does Jeff Kopelman prescribe most often?
Based on 2024 Medicare Part D data, Jeff Kopelman's most frequently prescribed drugs include Fluticasone Propionate, Levocetirizine Dihydrochloride, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jeff Kopelman accept Medicare?
Jeff Kopelman appears in CMS Medicare data with 1,383 Part D claims and 352 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeff Kopelman's credentials?
Jeff Kopelman's NPI is 1851363055. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.