JACQUELYN N COPELAND (MD) – Diagnostic Radiology Physician, NPI 1083932404
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,259 DIAGNOSTIC RADIOLOGY in NJ
Provider Addresses for JACQUELYN N COPELAND (MD)
130 KINDERKAMACK RD STE 200
RIVER EDGE, NJ 076611931
Phone: (201) 488-2660
Type: Mailing
30 PROSPECT AVE RADIOLOGY DEPT
HACKENSACK, NJ 076011915
Phone: (551) 996-2200
Type: Location
1255 25TH ST NW
APT 1015
WASHINGTON, DC 200371166
Phone:
Type: Mailing
2300 M ST NW
8TH FL
WASHINGTON, DC 200371434
Phone: (202) 741-3003
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: 2023-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160628001422 | I | Diagnostic Radiology | NJ | TBD |
| I20230426000601 | I | Diagnostic Radiology | CT | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 798 | 798 | $0 |
| 77063 | Screening 3d breast mammography | 798 | 798 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 137 | 136 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 95 | 95 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 91 | 91 | $0 |
Insurance plans in this area (ZIP 07661)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ |
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