NPIMap

Individual provider Active NPI

Matthew Duane Copple, D.O.

  • Orthopaedic Surgery Physician
  • Gonzales, LA
National Provider Identifier
1033315742
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO.000290 Issued in LA
Practice address
1014 Saint Clair Blvd Ste 1020
Gonzales, LA 70737-5027
Phone
(225) 743-2000
Fax
(225) 743-2010
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO.000290 LA Primary

Addresses

Primary practice location

1014 Saint Clair Blvd Ste 1020
Gonzales, LA 70737-5027

Mailing address

1014 Saint Clair Blvd Ste 1020
Gonzales, LA 70737-5027
Phone (225) 743-2000

Other identifiers 1

IdentifierTypeStateIssuer
1992983092OtherLAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602003121 MN Practitioner - Orthopedic Surgery 5294990776 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glencoe Regional Health ServicesGroup PAC ID 1759292980, 45 clinicians

Practice addresses (Care Compare)

1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone (320) 864-3121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6086OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Jul 1, 2022 Accepting new patients
Glencoe Regional Health Services CurrentSince Jul 18, 2022 Accepting new patients
Tria Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Sep 28, 2023 Accepting new patients
Glencoe Regional Health Services CurrentSince Jul 18, 2022 Accepting new patients

Locations

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

1071 Highway 15 S
Hutchinson, MN 55350
Phone (320) 464-4610

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

Interoperability endpoints

  • Direct secure messaging: mcopple582796@excellian.direct.allina.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1033315742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SAINT CLAIR BLVD STE 1020",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375027",
            "telephone_number": "225-743-2000",
            "fax_number": "225-743-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 SAINT CLAIR BLVD STE 1020",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375027",
            "telephone_number": "225-743-2000",
            "fax_number": "225-743-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPLE",
        "first_name": "MATTHEW",
        "middle_name": "DUANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "DO.000290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1992983092",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.