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Active NPI 1023025566 Individual Practitioner Male Practitioner

Roger K Koopman , PA

Physician Assistant • White Bear Lake, MN

Professional Overview & Biography Verified Profile Summary

Roger Koopman, PA is a registered healthcare professional specializing in Physician Assistant in White Bear Lake, MN. Practice services are available at 2730 COUNTY ROAD E E under active NPI credentials.

Frequently performed procedures and clinical services include administration of influenza virus vaccine, influenza vaccine split virus, preservative free, new 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

2730 County Road E E

White Bear Lake, MN 551104963

Telephone 8663892727
Associated Practice Facility / Clinic
🏢 Minuteclinic Llc Facility NPI 1134191836

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in White Bear Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
17 Specialists

Practicing in White Bear Lake, MN (4026 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.0% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0008 Administration of influenza virus vaccine
23 23 $26.00 $20.39
90662 Influenza vaccine split virus, preservative free
21 21 $44.00 $43.12
99202 New patient office or other outpatient visit, typically 20 minutes
12 12 $127.25 $62.78

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9934

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

15245 Bluebird St Nw

Andover, MN 553043554

Phone: 7637126000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Wagschal , MSN APRN

Nurse Practitioner - Family

NPI 1003013525

MSNAPRN

Shelly Gallini , PA-C

Physician Assistant

NPI 1003089210

Physician Assistant (Certified)

Dr. Lilia Pino , PhD, ARNP

Nurse Practitioner - Family

NPI 1003094855

Doctor of Philosophy (Ph.D.), Advanced Registered Nurse Practitioner

Maria Gagliano , FNP

Nurse Practitioner - Family

NPI 1003160532

Family Nurse Practitioner

Jennifer Price , APRN

Nurse Practitioner - Family

NPI 1003185570

Advanced Practice Registered Nurse

Megan Lottes , NP-C

Nurse Practitioner - Family

NPI 1003196965

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 551104963 (Tel: 8663892727)

📍
Updated Business Mailing Address March 17, 2018

Registered at 2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 551104963 (Tel: 8663892727)

📍
Updated Practice Location March 05, 2018

Registered at 2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 551104963 (Tel: 8663892727)

📍
Updated Business Mailing Address March 05, 2018

Registered at 2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 551104963 (Tel: 8663892727)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 15245 BLUEBIRD ST NW, ANDOVER, MN 553043554 (Tel: 7637126000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528835790)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER KOOPMAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #9934 in MN)

🟢
Initial NPI Registration & Enumeration August 01, 2006

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: 1023025566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

2730 County Road E E

White Bear Lake, MN 551104963

Phone: 8663892727

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.