NPI registry status
Active
2026 NPPES data Urology Physician NPI 1881794352 MD
Verify on CMS → Theresa Koppie, MD
Urology Physician in Portland, Oregon.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
2K
Medicare Part D claims · 558 beneficiaries · Urology Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.5/100
▼ 15 pts below national avg 83.1 · Mid-tier
Industry payments
$697.73
38 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theresa Koppie, MD reported a CMS MIPS final score of 68.5/100 - below the 83.1 national average - and filed 2,230 Medicare Part D claims in 2023.
- 68.5/100
- MIPS score · -15 vs avg
- 2K
- Part D claims, 2023
- 86%
- 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.
Theresa Koppie, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
69 7th percentile higher than 7% 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
Where Theresa Koppie, MD sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Theresa Koppie, MD writes more Part D claims than 74% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Theresa Koppie, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Theresa Koppie, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Theresa Koppie, MD?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
2,230 74% vs specialty avg
MIPS final score
68.5/100 14.6 pts vs avg
Specialty distribution in Oregon
How Urology Physician compares to other specialties among Oregon providers
Medicare quality performance, MIPS
Theresa Koppie, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 68.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 68.5/100 vs national avg 83.1
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).
Theresa Koppie, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 3303 SW BOND AVE, Portland, OR, 97239, with a listed phone of (503) 346-1500. NPI 1881794352 was issued on 09/25/2006.
Medicare Part D records for calendar year 2023 show 2,230 prescription claims written by this provider, covering 558 Medicare beneficiaries and totaling roughly $590K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68.5/100 for the 2023 performance year (Quality 65.9, Cost 38.8), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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 | 1881794352 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 09/25/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
68.4697
Final Score
Avg: 83.1
65.9263
Quality
38.837
Cost
85
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Theresa Koppie, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Centennial Medical Group Inc
Roseburg, OR
Good Shepherd Health Care System
Hermiston, OR
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Theresa Koppie, MD. Source: openpaymentsdata.cms.gov.
Total received
$698
Largest payer
ABBVIE INC.
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.
Brand vs generic prescribing mix · Typical
Theresa Koppie, MD - brand share 14.0%
Urology Physician average
14% brand-name claims vs 86% generic, on 2,230 2023 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 2023.
2,230
Total Claims
$590K
Total Drug Cost
558
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,243
- Total Day Supply
- 86,062
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $530K
- Generic Drug Cost
- $60K
- Opioid Claims
- 61 (2.7% rate)
- Antibiotic Claims
- 481
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 42% female / 58% male
- Age Distribution
- <65: 56, 65-74: 253, 75-84: 190, 85+: 59
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theresa Koppie, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
567 claims
- Cephalexin 222
Cephalexin
222 claims
- Methenamine Hippur… 215
Methenamine Hippurate
215 claims
- Myrbetriq 193
Myrbetriq
193 claims
- Finasteride 131
Finasteride
131 claims
- Solifenacin Succin… 112
Solifenacin Succinate
112 claims
- Oxybutynin Chlorid… 95
Oxybutynin Chloride Er
95 claims
- Gemtesa 80
Gemtesa
80 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 567 |
| Cephalexin | 222 |
| Methenamine Hippurate | 215 |
| Myrbetriq Mirabegron | 193 |
| Finasteride | 131 |
| Solifenacin Succinate | 112 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 95 |
| Gemtesa Vibegron | 80 |
| Ciprofloxacin Hcl | 69 |
| Oxybutynin Chloride | 57 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Theresa Koppie, MD fits within the Urology Physician landscape nationally.
13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Theresa Koppie, MD's 2,230 claims are above the specialty average of 1,280.
Nearby Urology Physician Providers in Oregon
Other clinicians with the same primary specialty enrolled in Oregon, drawn from the same CMS NPPES roster as Koppie.
Dr. Douglas Ackerman
M.D.
Clackamas, OR
Dr. Christopher Amling
M.D., F.A.C.S.
Portland, OR
Dr. Grecori Anderson
MD
Astoria, OR
Dr. Matt Ashley
M.D.
Bend, OR
Dr. James Austin
MD
Portland, OR
Compare Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Oregon medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Theresa Koppie, MD's specialty? ▼
Theresa Koppie, MD specializes in Urology Physician and practices in Portland, Oregon. Credentials: MD.
How much does Theresa Koppie, MD prescribe under Medicare Part D? ▼
In 2023, Theresa Koppie, MD wrote 2,230 Medicare Part D claims totaling $590K in drug costs for 558 beneficiaries.
What is Theresa Koppie, MD's Medicare quality score? ▼
Theresa Koppie, MD has a CMS MIPS Final Score of 68.5/100 (Quality: 65.9, Cost: 38.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theresa Koppie, MD located? ▼
Theresa Koppie, MD is located at 3303 SW BOND AVE, Portland, OR, 97239. Phone: (503) 346-1500.
What is Theresa Koppie, MD's NPI number? ▼
Theresa Koppie, MD's National Provider Identifier (NPI) is 1881794352, issued on 09/25/2006.
Does Theresa Koppie, MD prescribe more brand-name or generic drugs? ▼
Theresa Koppie, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $530K in brand drug costs.
Does Theresa Koppie, MD prescribe opioids? ▼
Yes, Theresa Koppie, MD had 61 opioid claims in 2023 with an opioid prescribing rate of 2.7%.
How many Urology Physician providers are there in the US? ▼
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Theresa Koppie, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Theresa Koppie, MD's most frequently prescribed drugs include Tamsulosin Hcl, Cephalexin, Methenamine Hippurate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theresa Koppie, MD accept Medicare? ▼
Theresa Koppie, MD appears in CMS Medicare data with 2,230 Part D claims and 558 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Koppie, MD's credentials? ▼
Theresa Koppie, MD's NPI is 1881794352 with credentials MD. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.