DOMENICO COPPOLA (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1730119454
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DOMENICO COPPOLA (MD)
Palmbrush Trail, Summerfield, Lakewood Ranch, Manatee County, Florida, 34202, United States
LAKEWOOD RANCH, FL 342022915
Phone: (941) 757-4800
Fax: (941) 757-4803
Type: Mailing
9325 Bay Plaza Blvd Ste 210
Tampa, FL 336198403
Phone: (813) 553-3332
Fax: (813) 374-4459
Type: Location
9325 BAY PLAZA BLVD STE 210
TAMPA, FL 336198403
Phone: (813) 553-3332
Fax: (813) 374-4459
Type: Mailing
10910 TECHNOLOGY TER
LAKEWOOD RANCH, FL 342114930
Phone: (813) 553-3332
Fax: (813) 374-4459
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-04-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040422000904 | I | Pathology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6,389 | 2,190 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 1,685 | 944 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1,642 | 827 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 894 | 316 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 455 | 376 | $0 |
Insurance plans in this area (ZIP 34202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | FL | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 74 | 46 |
| PATHOLOGY | FL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 46 | 32 |
| PATHOLOGY | FL | 88342 | Tissue or cell analysis by immunologic technique | 233 | 176 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | FL | |
| Internal Medicine, Gastroenterology | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL |
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