BORIS V KLOPUKH (MD) – Urology Physician, NPI 1003873183

BORIS V KLOPUKH (MD) is a healthcare provider. based in Fort myers, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. ME82314 (FL). The NPI Number for BORIS V KLOPUKH (MD) is 1003873183

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BORIS V KLOPUKH (MD)
NPI
1003873183
Phone
(239) 931-7342
Address
2234 COLONIAL BLVD
Enumeration Date
1 May 2006
Last Update Date
6 October 2016

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
3058227227
Graduation Year
1990 (36 years ago)
PAC ID
5496745077
Group Practice PAC ID
5799069043
Professional Enrollment ID
I20040515000029
Address ID
FL330161815HI2140XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

898 UROLOGY in FL

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Provider Addresses for BORIS V KLOPUKH (MD)

  • 2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States

    ATTN: PAYER CONTRACTING & RELATIONS DEPT.

    FORT MYERS, FL 339071412

    Phone: (239) 931-7342

    Fax: (239) 931-7385

    Type: Mailing

  • 21110, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States

    SUITE 201

    AVENTURA, FL 331801227

    Phone: (305) 534-4747

    Fax: (305) 937-7726

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,996.

Total Amount is formed as General ($2,996) + Research ($0) + Ownership ($0) = $2,996.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($1,495).

Total Amount

$2,996

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,996

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-05-15

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
I20040515000029IUrologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes761279$0
51798Ultrasound measurement of bladder capacity after voiding111111$0
51741Electronic assessment of bladder emptying110110$0
64566Insertion of lower leg neurostimulator electrode10611$0
76872Ultrasound scan of pelvic region through rectum106104$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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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: 5799069043View full group profile

Reviews

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Frequently asked questions

What is BORIS V KLOPUKH (MD)'s NPI number?
BORIS V KLOPUKH (MD)'s NPI is 1003873183 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BORIS V KLOPUKH (MD)?
For scheduling context, BORIS V KLOPUKH (MD) is shown as active in the registry.
What clinical focus is listed for BORIS V KLOPUKH (MD)?
At a glance, BORIS V KLOPUKH (MD) is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
Is BORIS V KLOPUKH (MD) located near Fort Myers?
BORIS V KLOPUKH (MD) currently maps to Fort Myers, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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