Jim Kevin Copenhaver, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16158 Issued in NH

Practice address

240 S Main St
Emergency Department
Wolfeboro, NH 03894-4411

Phone

(360) 257-9403

NPI assigned

Feb 17, 2006

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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 1

Specialty

Emergency Medicine

Education

University of Washington School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hampshire Emergency Physician Associates PCGroup PAC ID 2668735580, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Merit-based Incentive Payment System (MIPS)

Final score

65.17 of 100Reported as group

Quality

47.69

Improvement activities

40

Cost

79.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Hampshire Emergency Physician Associates PC

  • Emergency Medicine Physician
  • Wolfeboro, NH
  • NPI 1629578000
  Medicare reassignment Care Compare group NPD
• Clallam County Public Hospital District No 1

  dba Forks Family Medical Clinic

  • Rural Health Clinic/Center
  • Forks, WA
  • NPI 1285290338

  Family Medicine

  NPD (past)
• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)

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

• Huggins Hospital

  • Critical Access Hospital
  • Wolfeboro, NH
  • NPI 1366476079
  Care Compare affiliation
• Huggins Hospital

  dba Moultonborough Family Medicine

  • Family Medicine Physician
  • Moultonborough, NH
  • NPI 1639166077

  Hospital

  Care Compare affiliation
• Huggins Hospital

  dba Alton Family Medicine

  • Family Medicine Physician
  • Alton, NH
  • NPI 1871534792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1114992823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "address_2": "HUGGINS HOSPITAL",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038940912",
            "telephone_number": "603-569-7575",
            "fax_number": "603-569-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "360-257-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAVER",
        "first_name": "JIM",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "16158",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MDOOO23980",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "16158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lawrence Clark, N.D. (NATUROPATH)
• Kiersten Clough, CF-SLP
• Peter Congelosi
• Sarah Connelly
• Elizabeth Cooper, LICSW
• Jessamy Wood Cornell, RDN, LD, CDE
• George Costello, MD
• Jamison Forrest Costello, D.O.
• Elisabeth Ann Costigan, NP
• Lynne Crawford

• Family Medicine Physician in Wolfeboro, NH
• Providers in Wolfeboro, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.