Individual provider Active NPI

Scott Koppel, D.P.M.

  • Podiatrist
  • Gainesville, FL
National Provider Identifier
1295732741
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2501 Issued in FL
Practice address
500 NW 43Rd Street
Ste 2
Gainesville, FL 32607-6126
Phone
(352) 376-5112
Fax
(352) 376-0320
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X P02501 FL
Foot & Ankle Surgery Podiatrist 213ES0103X P02501 FL
Podiatrist 213E00000X PO 2501 FL Primary

Addresses

Primary practice location

500 NW 43Rd Street
Ste 2
Gainesville, FL 32607-6126

Mailing address

500 NW 43Rd Street
Ste 2
Gainesville, FL 32607-6126
Phone (352) 376-5112

Other identifiers 2

IdentifierTypeStateIssuer
P00693755OtherRAILROAD MEDICARE
390321400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013001348 FL Practitioner - Podiatry 3375503337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family PodiatryGroup PAC ID 2961673173, 2 clinicians

Practice addresses (Care Compare)

500 NW 43Rd St
St 2
Gainsville, FL 32607-6117
Phone (352) 376-5112

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
96.35 of 100Reported as individual
Quality
92.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal262
Removal of tissue222
Removal of skin lesions24
Removal of nail tissue40
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2501FLMDPodiatrist
P02501FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Podiatry Podiatrist CurrentSince Apr 30, 2003 Accepting new patients
North Florida Family Podiatry Podiatrist PastSince Aug 24, 2011 Accepting new patients

Locations

500 NW 43rd St
Ste 2
Gainesville, FL 32607
Phone (352) 376-5112

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1295732741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 43RD STREET",
            "address_2": "STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076126",
            "telephone_number": "352-376-5112",
            "fax_number": "352-376-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 43RD STREET",
            "address_2": "STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076126",
            "telephone_number": "352-376-5112",
            "fax_number": "352-376-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPEL",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "P02501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P02501",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00693755",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390321400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.