ANTHONY JOHN COPPOLA (DO) – Emergency Medicine Physician, NPI 1376836205

ANTHONY JOHN COPPOLA (DO) is a healthcare provider. based in Wethersfield, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34.011333 (OH). The NPI Number for ANTHONY JOHN COPPOLA (DO) is 1376836205

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY JOHN COPPOLA (DO)
NPI
1376836205
Phone
Not provided
Address
1290 SILAS DEANE HWY
Enumeration Date
25 May 2011
Last Update Date
31 December 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8604969669
Graduation Year
2011 (15 years ago)
PAC ID
8426279084
Group Practice PAC ID
4486557501
Professional Enrollment ID
I20190724001662
Address ID
CT067906679TO540XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

988 EMERGENCY MEDICINE in MD

Provider Addresses for ANTHONY JOHN COPPOLA (DO)

  • 1290 SILAS DEANE HWY

    HHC-CVO

    WETHERSFIELD, CT 061094337

    Phone:

    Type: Mailing

  • 20010 CENTURY BLVD

    SUITE 200

    GERMANTOWN, MD 208741115

    Phone: (240) 686-2300

    Type: Mailing

  • 540 LITCHFIELD ST

    TORRINGTON, CT 067906679

    Phone: (860) 496-6650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$27
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190724001662IEmergency MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making131128$0
99284Emergency department visit with moderate level of medical decision making4140$0
99291Critical care, first 30-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 06109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486557501View full group profile
NameSpecialtyState
Radiation OncologyCT
N E U R O L O G YCT
O T O L A R Y N G O L O G YCT
-CT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Physician AssistantCT
Hospitalist, Internal MedicinePA
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANTHONY JOHN COPPOLA (DO)?
ANTHONY JOHN COPPOLA (DO) — NPI 1376836205 — is the standard way to identify this listing.
Does CMS list ANTHONY JOHN COPPOLA (DO) as active?
Yes — ANTHONY JOHN COPPOLA (DO) is active in the NPI listing used on this page.
What is ANTHONY JOHN COPPOLA (DO) best known for clinically?
Directory data describes ANTHONY JOHN COPPOLA (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ANTHONY JOHN COPPOLA (DO)?
ANTHONY JOHN COPPOLA (DO)'s geographic hint is Wethersfield, Connecticut in our summary view.
Why does ANTHONY JOHN COPPOLA (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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