Active NPI 1427053537 Individual Practitioner Male Practitioner

Dr. Joel E. Kopelman , MD

Plastic Surgery • Ridgewood, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Joel Kopelman, MD is a registered healthcare professional specializing in Plastic Surgery in Ridgewood, NJ. Practice services are available at 1200 E RIDGEWOOD AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 E Ridgewood Ave
Ste 1

Ridgewood, NJ 074503957

Telephone 2014444499

Fax 2016128114

Associated Practice Facility / Clinic

🏢 Retina Consultants, Pa, Ii Facility NPI 1215906169

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Ridgewood, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 31.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Ridgewood, NJ (209 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$201.25	$173.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	11	$133.95	$115.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$199.25	$171.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$133.00	$113.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$190.91	$162.92
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$85.71	$72.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	12	$52.08	$44.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$126.31	$107.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$125.82	$107.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$192.45	$162.27
99213 Established patient office or other outpatient visit, typically 15 minutes	40	24	$86.27	$72.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$51.98	$43.97

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NJ 25MA03556800

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1691201 (NJ)

Commercial Insurance / Payer ID Oxford

BS110

Commercial Insurance / Payer ID Healthnet

J18130

Commercial Insurance / Payer ID 34d19

WELLCHOICE

Commercial Insurance / Payer ID 180004224

RAILROAD MEDICARE (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Mindy Nestampower , MD

Anesthesiology

NPI 1851476626

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2012

Registered at 1200 E RIDGEWOOD AVE, STE 1, RIDGEWOOD, NJ 074503957 (Tel: 2014444499)

📍

Updated Business Mailing Address September 27, 2012

Registered at 1200 E RIDGEWOOD AVE, STE 1, RIDGEWOOD, NJ 074503957 (Tel: 2014444499)

👤

Provider Name / Credentials Updated September 27, 2012

Recorded as JOEL KOPELMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2012

Plastic Surgery (License #25MA03556800 in NJ)

🟢

Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427053537

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2005

Last Update: September 27, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1200 E Ridgewood Ave, Ste 1

Ridgewood, NJ 074503957

Phone: 2014444499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.