Individual provider

Kevin Kopko, M.D.

Adult Reconstructive Orthopaedic Surgery Physician Orthopaedic Surgery Physician Medicare enrolled

Kevin Kopko, M.D. is an Adult Reconstructive Orthopaedic Surgery Physician in Fayetteville, NY, registered under NPI 1700102928. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4100 MEDICAL CENTER DRIVE SUITE 115, Fayetteville, NY 13066. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4100 MEDICAL CENTER DRIVE SUITE 115, Fayetteville, NY 13066 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
272408 NY Adult Reconstructive Orthopaedic Surgery… primary
272408 NY Orthopaedic Surgery Physician

This provider holds licence 272408 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Orthopedic Surgery
PAC ID
4385939784
Enrollment ID
I20170406001033

Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Reconstructive Orthopaedic Surgery covers

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. NUCC Health Care Provider Taxonomy, code 207XS0114X
Allopathic & Osteopathic Physicians Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207XS0114X Adult Reconstructive Orthopaedic Surgery Physician Adult Reconstructive Orthopaedic Surgery 272408 NY primary
207X00000X Orthopaedic Surgery Physician 272408 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1700102928 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 13, 2010
Last updatedDec 19, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 4100 MEDICAL CENTER DRIVE
SUITE 115
Fayetteville, NY 13066
(315) 329-2555
Other identifiers 04704138 · Medicaid (NY)
This record was updated on Dec 19, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1700102928 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 0 0 1 0 2 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 0 0 2 0 4 9 4

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1700102928?
NPI 1700102928 is the National Provider Identifier assigned to Kevin Kopko, M.D. in Fayetteville, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Reconstructive Orthopaedic Surgery cover?
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult…
How do I contact Kevin Kopko, M.D.?
The phone number on file with NPPES is (315) 329-2555, last updated Dec 19, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kevin Kopko, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1700102928 a valid number?
Yes. 1700102928 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.