ADAM KOPELAN – Specialist, NPI 1679573307
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
984 GENERAL SURGERY in NJ
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Provider Addresses for ADAM KOPELAN
Millburn Avenue, Millburn, Essex County, New Jersey, 07081, United States
SUITE 104B
MILLBURN, NJ 070411737
Phone: (973) 379-5888
Fax: (973) 912-9757
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 25 Open Payments records for all available years, with a total value of $4,705.
Total Amount is formed as General ($4,705) + Research ($0) + Ownership ($0) = $4,705.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Ethicon Inc. ($3,927).
Total Amount
$4,705
General + Research + Ownership
Payments
25
Total payment records
General Amount
$4,705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $3,927 |
| Ethicon US, LLC | $313 |
| Medtronic, Inc. | $216 |
| Intuitive Surgical, Inc. | $164 |
| Smith+Nephew, Inc. | $30 |
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: 2004-08-27
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 |
|---|---|---|---|---|
| I20040827000116 | I | General Surgery | NJ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Critical Care (Intensivists), Pulmonary Disease | NJ | |
| - | NJ | |
| General Surgery | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| General Surgery | NY | |
| General Surgery | NJ |
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