Jonathan Chaim Kopelovich, M.D.
NPI 1023218617ActiveIndividual· Otolaryngology· Bellevue, WA
Otolaryngology (M.D.) with Proliance Surgeons Inc P S, practicing in Bellevue, Washington. Mostly services rather than prescriptions: Medicare paid $5,983 for 26 patients in 2024, with only 34 Part D claims. Lists Overlake Hospital Medical Center & Clinics as a hospital affiliation.
Overview
| NPI | 1023218617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 20, 2007 |
| Last updated in NPPES | Oct 30, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | MD60564654 | WA |
| Otolaryngology, Pediatric Otolaryngology | 207YP0228X | MD60564654 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Otolaryngology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 73 across 20 procedure codes |
| Paid by Medicare | $5,983 |
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 38 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $846.41 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Otolaryngology |
| Secondary specialties | Pediatric Medicine |
Medical group
- Proliance Surgeons Inc P SEverett, WA · 397 clinicians
Hospital affiliation
- Overlake Hospital Medical Center & ClinicsBellevue, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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