DR. JOHN CASEY COPPEDGE (O.D.) – Optometrist, NPI 1710179932

DR. JOHN CASEY COPPEDGE (O.D.) is a healthcare provider. based in Brooksville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4216 (FL). The NPI Number for DR. JOHN CASEY COPPEDGE (O.D.) is 1710179932

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN CASEY COPPEDGE (O.D.)
NPI
1710179932
Phone
(352) 796-2141
Address
86 PONCE DE LEON BLVD
Enumeration Date
11 August 2007
Last Update Date
14 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527962141
Graduation Year
2007 (19 years ago)
PAC ID
1355430075
Group Practice PAC ID
9032251160
Professional Enrollment ID
I20071204000284
Address ID
FL346012818BR86XXXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. JOHN CASEY COPPEDGE (O.D.)

  • 86, Ponce de Leon Boulevard, Brooksville, Hernando County, Florida, 34601, United States

    BROOKSVILLE, FL 346012818

    Phone: (352) 796-2141

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($64).

Total Amount

$195

General + Research + Ownership

Payments

8

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

Latest reported date

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: 2007-12-04

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
I20071204000284IOptometryFLTBD

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 minutes311295$0
66984Removal of cataract with insertion of prosthetic lens3217$0
66821Removal of recurring cataract in lens capsule using a laser2617$0
99213Established patient office or other outpatient visit, 20-29 minutes2518$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 34601)

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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: 9032251160View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

Does DR. JOHN CASEY COPPEDGE (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN CASEY COPPEDGE (O.D.) uses 1710179932.
Can I rely on DR. JOHN CASEY COPPEDGE (O.D.) being an active provider?
As of the registry snapshot, DR. JOHN CASEY COPPEDGE (O.D.) is marked active.
What healthcare role does DR. JOHN CASEY COPPEDGE (O.D.) hold?
Scheduling teams often label DR. JOHN CASEY COPPEDGE (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN CASEY COPPEDGE (O.D.) based?
DR. JOHN CASEY COPPEDGE (O.D.) is tied to Brooksville, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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