Active NPI 1184696171 Individual Practitioner Male Practitioner

Dr. John D Kopp , MD

Specialist • Albany, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Kopp, MD is a certified Specialist practicing in Albany, NY. With approximately 43 years of clinical experience since graduating from Albany Medical College Of Union University in 1983, Dr. Kopp delivers high-quality medical care to the local community at 6 EXECUTIVE PARK DR.

Dr. Kopp is affiliated with Albany Medical College and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6 Executive Park Dr

Albany, NY 122033791

Telephone 5184829111

Fax 5184826142

Associated Practice Facility / Clinic

🏢 Bozena Strzalkowski, M.d. Facility NPI 1194779157

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Albany, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +12.9 yrs vs City Avg

City Avg: 30.1 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

143 Specialists

Practicing in Albany, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kopp (43 Years) 43 Yrs

Albany Specialty Average (30.1 Years) 30.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	233	162	$145.00	$43.72
99213 Established patient office or other outpatient visit, typically 15 minutes	150	114	$271.00	$86.34
31575 Diagnostic exam of voice box using a flexible endoscope	30	28	$797.10	$121.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$196.00	$52.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$331.00	$100.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	234	175	$145.62	$44.91
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$271.00	$86.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$196.00	$52.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$331.00	$107.30
31575 Diagnostic exam of voice box using a flexible endoscope	21	20	$483.00	$124.53
31231 Diagnostic examination of nasal passages using an endoscope	19	16	$607.00	$181.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$382.00	$122.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$495.00	$160.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	449	348	$145.65	$45.45
99213 Established patient office or other outpatient visit, typically 15 minutes	284	209	$271.00	$88.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$331.00	$108.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$495.00	$162.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	74	$196.00	$55.36
31575 Diagnostic exam of voice box using a flexible endoscope	76	69	$483.00	$127.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	62	$382.00	$121.97
31231 Diagnostic examination of nasal passages using an endoscope	26	25	$607.00	$169.50
69420 Incision, aspiration, and/or inflation of eardrum	12	11	$661.50	$205.37
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$219.00	$71.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	560	394	$148.63	$45.94
99213 Established patient office or other outpatient visit, typically 15 minutes	319	246	$271.00	$89.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	138	$196.00	$55.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$315.00	$108.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$480.00	$163.25
31575 Diagnostic exam of voice box using a flexible endoscope	69	62	$483.00	$124.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$353.00	$127.32
31231 Diagnostic examination of nasal passages using an endoscope	37	33	$607.00	$193.60
69220 Removal of skin debris and drainage of mastoid cavity	23	11	$645.00	$72.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	495	380	$147.15	$73.29
69210 Removal of impacted ear wax	162	150	$143.15	$45.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$318.84	$160.72
31575 Diagnostic exam of voice box using a flexible endoscope	64	53	$289.50	$120.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$229.04	$105.17
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	32	32	$65.00	$47.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$172.21	$44.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$279.80	$106.85
31231 Diagnostic examination of nasal passages using an endoscope	22	19	$440.36	$188.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	773	498	$115.00	$71.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$270.00	$158.30
69210 Removal of impacted ear wax	114	93	$85.00	$40.99
31575 Diagnostic exam of voice box using a flexible endoscope	103	91	$195.00	$108.72
31231 Diagnostic examination of nasal passages using an endoscope	64	52	$325.00	$192.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$175.00	$103.96
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	59	58	$65.00	$46.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$170.00	$104.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$75.00	$43.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	758	462	$115.00	$69.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$270.00	$154.82
31575 Diagnostic exam of voice box using a flexible endoscope	129	107	$195.00	$102.60
69210 Removal of impacted ear wax	81	69	$85.00	$42.40
31231 Diagnostic examination of nasal passages using an endoscope	72	56	$325.00	$200.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$170.00	$103.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$175.00	$103.53
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	38	38	$65.00	$46.50
92557 Comprehensive hearing and speech recognition test	12	12	$65.00	$33.72
92567 Eardrum testing using ear probe	11	11	$25.00	$12.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	756	475	$119.35	$69.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$273.68	$153.77
31575 Diagnostic exam of voice box using a flexible endoscope	136	106	$198.82	$105.50
31231 Diagnostic examination of nasal passages using an endoscope	73	51	$340.07	$196.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$172.68	$103.30
69210 Removal of impacted ear wax	46	38	$82.17	$44.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$179.17	$103.47
92504 Exam of ear using a microscope	14	13	$58.00	$28.36

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 184904

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01264635 (NY)

Commercial Insurance / Payer ID Aetna

5093468 (NY)

Commercial Insurance / Payer ID Empire Blue Cross

03G682 (NY)

Commercial Insurance / Payer ID Cdphp

10001093 (NY)

Commercial Insurance / Payer ID Mvp

04147 (NY)

Commercial Insurance / Payer ID Ghi

0600071 (NY)

Commercial Insurance / Payer ID Blue Shield

000405427004 (NY)

Commercial Insurance / Payer ID Fidelis

040426005185 (NY)

Commercial Insurance / Payer ID Wellcare

11207 (NY)

Hospital & Practice Group Affiliations

Albany Medical College

47 New Scotland Ave, Albany, NY 122083412

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. John Cevera , MD

Specialist

NPI 1003891847

Doctor of Medicine (M.D.)

Dr. Susan Rest , AuD

Audiologist

NPI 1013182617

Doctor of Audiology

Barbara Smith , NP

Nurse Practitioner

NPI 1053387662

Nurse Practitioner

John Pickering

Speech-Language Pathologist

NPI 1104860980

Dr. Julie Hanson , AuD

Audiologist

NPI 1376717306

Doctor of Audiology

Dr. Jamie Leichter , AuD

Audiologist

NPI 1477726560

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2008

Registered at 6 EXECUTIVE PARK DR, ALBANY, NY 122033791 (Tel: 5184829111)

📍

Updated Business Mailing Address February 28, 2008

Registered at 6 EXECUTIVE PARK DR, ALBANY, NY 122033791 (Tel: 5184829111)

👤

Provider Name / Credentials Updated February 28, 2008

Recorded as JOHN KOPP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2008

Specialist (License #184904 in NY)

🟢

Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184696171

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: February 28, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6 Executive Park Dr

Albany, NY 122033791

Phone: 5184829111

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.