Active NPI
Thomas Copperman, MD
- Ophthalmology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD61042379
- Practice address
- 1101 Madison St Ste 600
Seattle, WA 98104-1340 - Phone
- (206) 215-2020
- Fax
- (206) 215-2022
- NPI assigned
- Apr 2, 2013
- Last updated
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD61042379 | WA | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | MD61043249 | WA |
Addresses
Primary practice location
1101 Madison St Ste 600
Seattle, WA 98104-1340
Mailing address
1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone (206) 215-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wright State University Boonshoft School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020
11325 NE 120TH St
Kirkland, WA 98034-6907
Phone (425) 821-6655
1455 NW Leary Way
Suite 300
Seattle, WA 98107-5138
Phone (206) 784-3350
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.62 of 100
- Quality
- 85.07
- Improvement activities
- 40
- Cost
- 76.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61042379 | WA | MD | Ophthalmology Physician |
| MD61043249 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Evergreen Eye Center, PLLC | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Evergreen Eye Center, PLLC | Ophthalmology | Current | Accepting new patients |
| University of California SFGH Medical Group | Ophthalmology | Current | Accepting new patients |
| Eye Associates Northwest, PLLC | Ophthalmology | Current | Accepting new patients |
| Evergreen Eye Center, PLLC | Ophthalmology | Past | Accepting new patients |
| Evergreen Eye Center, PLLC | Ophthalmology | Past | Accepting new patients |
| Evergreen Eye Center, PLLC | Past | Accepting new patients |
Locations
1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632
34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100
1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004
1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350
Organizations & group practices 9
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.
-
dba Evergreen Eye Center
- Ophthalmology Physician
- Federal Way, WA
- NPI 1700959293
-
dba Eye Associates Northwest
- Ophthalmology Physician
- Seattle, WA
- NPI 1811952815
-
dba UCSF SFGH Medical Group Dept of Anesthesia
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
dba Eye Associates Northwest Surgery Center
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1184689408
-
dba UCSF SFGH Medical Group Division of Vascular Surgery
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
dba UCSF SFGH Medical Group Dept of Ophthalmology
- Ophthalmology Physician
- San Francisco, CA
- NPI 1770558827
-
dba Eye Associates Northwest, PLLC
- Ophthalmology Physician
- Seattle, WA
- NPI 1275387995
-
dba Evergreen Eye Center
- Ophthalmology Physician
- Burien, WA
- NPI 1538238043
-
dba Evergreen Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1821167479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1710220330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 600",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041340",
"telephone_number": "206-215-2020",
"fax_number": "206-215-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 600",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041340",
"telephone_number": "206-215-2020",
"fax_number": "206-215-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPERMAN",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD61042379",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD61043249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.