Bohdan William Kopynec, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9901427 Issued in NC

Practice address

112 E Ballard St
Ellerbe, NC 28338-9730

Phone

(910) 652-2633

Fax

(910) 652-3150

NPI assigned

Sep 14, 2005

Last updated

Oct 22, 2014By 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 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

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

Family Practice

Education

Columbia University College of Physicians and Surgeons, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care II, LLC Home health agency, Wadesboro, NC, CCN 347307
• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score

85.84 of 100Reported as group

Quality

79.14

Promoting interoperability

92

Improvement activities

40

Cost

80.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkopynec6776@firsthealth.direct-ci.net

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.

• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486
  Medicare reassignment Care Compare group
• FHPG, LLC

  dba FirstHealth Primary Care - Tramway

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035
  NPD
• FHPG, LLC

  dba FirstHealth Family Medicine-Robbins

  • Family Medicine Physician
  • Robbins, NC
  • NPI 1508237967
  NPD (past)

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

• Firsthealth of the Carolinas, Inc

  dba Firsthealth Bariatric Center

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  dba Firsthealth Regional EMS System

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  dba FirstHealth Cancer Center

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  dba FH Moore Regional Hospital (Acute)

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation
• Liberty Healthcare Group, LLC

  dba Liberty Home Care II, LLC

  • Home Health Agency
  • Wadesboro, NC
  • NPI 1356396683
  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1184619355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843013",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843013",
            "telephone_number": "910-652-2663",
            "fax_number": "910-652-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E BALLARD ST",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "283389730",
            "telephone_number": "910-652-2633",
            "fax_number": "910-652-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPYNEC",
        "first_name": "BOHDAN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9901427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891236E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0142C",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PAL",
            "identifier": "6120496002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH1000880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1236E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7802441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Leviner Dewitt, RN
• Ellerbe Pharmacy
• FHPG, LLC (FirstHealth Family Medicine-Ellerbe)
• Robin Hurt
• Venkata L N Juluru
• Eric Legrand
• Christine Anne McBride, PA-C
• Mary Catherine McKay
• Monarch
• New Ellerbe Pharmacy Inc (ellerbe pharmacy)

• Family Medicine Physician in Ellerbe, NC
• Providers in Ellerbe, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.