Andrew Stephen Kopecky, MD
NPI 1528527645ActiveIndividual· Radiology, Radiation Oncology· Providence, RI
Radiology, Radiation Oncology (MD) with Lifespan Physician Group Inc and 2 other groups, practicing in Providence, Rhode Island. 95 Medicare patients in 2024, $40,898 paid; nearly all of their 65 Part D prescriptions were generic (95%). Lists Newport Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1528527645 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 18, 2019 |
| Last updated in NPPES | Jun 14, 2024 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Radiation Oncology Primary | 2085R0001X | MD19668 | RI |
| Radiology, Radiation Oncology | 2085R0001X | 284661 | MA |
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 - Radiation Oncology (MA); Practitioner - Radiation Oncology (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 95 |
|---|---|
| Services billed | 575 across 34 procedure codes |
| Paid by Medicare | $40,898 |
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 67 30-day fills |
|---|---|
| Patients | 38 |
| Total drug cost | $1,310 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Radiation Oncology |
| Telehealth | Offers telehealth |
Medical groups
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
- Lifespan Physician Group of Massachusetts IncFall River, MA · 476 clinicians
- Radiosurgery Center of Rhode Island LLCProvidence, RI · 9 clinicians
Hospital affiliations
- Newport HospitalNewport, RI
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
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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