Individual provider Active NPI

Eddie Lee Copelin II, M.D.

  • Gastroenterology Physician
  • Amarillo, TX
National Provider Identifier
1063894343
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Practice address
1600 S Coulter St Ste B
Amarillo, TX 79106-0703
Phone
(806) 358-0200
Fax
(806) 356-5590
NPI assigned
Jun 23, 2015
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP03519 RI
Gastroenterology Physician 207RG0100X W1403 TX
Gastroenterology Physician 207RG0100X 0 NY Primary

Addresses

Primary practice location

1600 S Coulter St Ste B
Amarillo, TX 79106-0703

Mailing address

PO Box 840020
Dallas, TX 75284-0020

Other practice location 1

6700 W 9th Ave
Amarillo, TX 79106-1701
Phone (806) 358-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210514001438 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4587073945 Reassigns benefits to 3 organizations
I20251016000036 TX Practitioner - Gastroenterology 4587073945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Medicine of Central New York LLPGroup PAC ID 1254351141, 15 clinicians
Bsa Amarillo Diagnostic Clinic IncGroup PAC ID 5294959433, 31 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

116 Business Park Dr
Suite 1
Utica, NY 13502-6313
Phone (315) 624-7000

1600 S Coulter St
Suite B
Amarillo, TX 79106-0703
Phone (806) 358-0200

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.09 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
83.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy200
Upper gastrointestinal (GI) endoscopy for acid reflux169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP03519RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Aug 18, 2025 Accepting new patients
Bsa Amarillo Diagnostic Clinic Inc Internal Medicine CurrentSince Oct 3, 2025 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 18, 2025 Accepting new patients
Massena Hospital, Inc CurrentSince Aug 18, 2025 Accepting new patients
Massena Hospital Inc CurrentSince Aug 18, 2025 Accepting new patients
MVHS Inc PastSince May 18, 2021 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

181 Maple St
Ste C
Massena, NY 13662
Phone (315) 769-1667

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1600 S Coulter St
Ste B
Amarillo, TX 79106
Phone (806) 354-2529

6700 W 9th Ave
Amarillo, TX 79106
Phone (806) 358-0200

Organizations & group practices 8

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 4

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1063894343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791060703",
            "telephone_number": "806-358-0200",
            "fax_number": "806-356-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 W 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061701",
            "country_code": "US",
            "telephone_number": "806-358-0200",
            "fax_number": "806-356-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELIN",
        "first_name": "EDDIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP03519",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "W1403",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.