DR. DANIEL KOPOLOVICH (MD) – Orthopaedic Surgery Physician, NPI 1184037053

DR. DANIEL KOPOLOVICH (MD) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD484834 (PA). The NPI Number for DR. DANIEL KOPOLOVICH (MD) is 1184037053

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL KOPOLOVICH (MD)
NPI
1184037053
Phone
(210) 916-1242
Address
3551 ROGER BROOKE DR
Enumeration Date
8 June 2014
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7247421250
Graduation Year
2014 (12 years ago)
PAC ID
6507142643
Group Practice PAC ID
7012826753
Professional Enrollment ID
I20240727000058
Address ID
PA160467921SE203XXDRXX401

Contacts

Secure Messaging
dkopolovich@direct.tristateortho.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness95
Years active:12State licenses:1Other names

2,189 ORTHOPEDIC SURGERY in TX

Provider Addresses for DR. DANIEL KOPOLOVICH (MD)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 916-1242

    Type: Mailing

  • 5900 CORPORATE DR STE 200

    PITTSBURGH, PA 152377005

    Phone: (412) 369-4000

    Fax: (412) 369-7667

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $39,589.

Total Amount is formed as General ($39,589) + Research ($0) + Ownership ($0) = $39,589.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Arthrex, Inc. ($22,027).

Total Amount

$39,589

General + Research + Ownership

Payments

58

Total payment records

General Amount

$39,589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-07-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240727000058IOrthopedic SurgeryPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 7012826753View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
Family PracticePA
Family PracticePA
Medical Oncology, HematologyNM
Orthopedic SurgeryMA
Family PracticePA
Physician AssistantPA
Family PracticePA
Family PracticePA
Family Practice, Emergency Medicine, Neurology, Pain ManagementPA

Reviews

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Frequently asked questions

Is DR. DANIEL KOPOLOVICH (MD) listed with a National Provider Identifier?
Yes — DR. DANIEL KOPOLOVICH (MD) has NPI 1184037053 on file in the registry.
Is there an active status for DR. DANIEL KOPOLOVICH (MD)?
For scheduling context, DR. DANIEL KOPOLOVICH (MD) is shown as active in the registry.
What area of care is associated with DR. DANIEL KOPOLOVICH (MD)?
DR. DANIEL KOPOLOVICH (MD)'s record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. DANIEL KOPOLOVICH (MD) located near Jbsa Ft Sam Houston?
DR. DANIEL KOPOLOVICH (MD) currently maps to Jbsa Ft Sam Houston, Texas in this extract.
When was this NPI issued?
Enumeration for DR. DANIEL KOPOLOVICH (MD) is noted as June 8, 2014 where the registry provides it.

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