Individual provider Active NPI

Jeffrey G Copeland, M.D.

  • Plastic Surgery Physician
  • Saint Peters, MO
National Provider Identifier
1982671905
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
R5D60 Issued in MO
Practice address
2 Richmond Center CT
Saint Peters, MO 63376-5973
Phone
(636) 397-2001
Fax
(636) 279-2010
NPI assigned
Mar 8, 2006
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X R5D60 MO Primary

Addresses

Primary practice location

2 Richmond Center CT
Saint Peters, MO 63376-5973

Mailing address

10004 Kennerly Rd Ste 283B
Saint Louis, MO 63128-2177
Phone (314) 272-0864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20100524000364 MO Practitioner - Plastic and Reconstructive Surgery 0244237634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Missouri, Columbia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Consultants, LTD.Group PAC ID 6901858968, 6 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Saint Louis, MO 63128-2109
Phone (314) 272-0864

2 Richmond Ctr CT
Saint Peters, MO 63376-5973
Phone (636) 397-2001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5D60MOMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Consultants, LTD. Plastic Surgery CurrentSince Apr 1, 1998 Accepting new patients
Cardiac Diagnostic Center LLC Past Accepting new patients

Locations

10004 Kennerly Rd
Ste 281B
Saint Louis, MO 63128
Phone (314) 272-0864

10004 Kennerly Rd
Ste 283B
Saint Louis, MO 63128
Phone (314) 272-0864

10004 Kennerly Rd
Ste 367B
Saint Louis, MO 63128
Phone (314) 842-5885

2 Richmond Center Ct
Saint Peters, MO 63376
Phone (636) 397-2001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1982671905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 283B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-272-0864",
            "fax_number": "314-272-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RICHMOND CENTER CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765973",
            "telephone_number": "636-397-2001",
            "fax_number": "636-279-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "R5D60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.