Tibor Kopjas, M.D.
NPI 1952332918 · Internal Medicine Physician · Maryville, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tibor Kopjas, M.D. is a Internal Medicine Physician provider in Maryville, IL (NPI 1952332918).
Provider details
- NPI number
- 1952332918
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036070084 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
751 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 397 | $125 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 137 | $125 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 111 | $88 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 106 | $54 |
Typical Medicare-allowed amounts for these services range $54–$125 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 164 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Varicella-Zoster Ge/As01b/Pfbrand: Shingrix | 3,749 | 2,665 |
| Rsv Vacc, Pref a and Pref B/Pfbrand: Abrysvo | 3,097 | 3,085 |
| Rsvpref3 Antigen/As01e/Pfbrand: Arexvy | 1,223 | 1,223 |
| Diphth,pertuss(acell),tet Vacbrand: Boostrix Tdap | 983 | 978 |
| Atorvastatin Calcium | 458 | 120 |
| Rosuvastatin Calcium | 417 | 121 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$48 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2118 Vadalabene DrMaryville, IL 62062-5632Phone: (618) 288-7081Fax: (618) 288-6857
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Frequently asked questions
- What is Tibor Kopjas's NPI number?
- Tibor Kopjas's National Provider Identifier (NPI) is 1952332918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tibor Kopjas's specialty?
- Tibor Kopjas is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tibor Kopjas located?
- Tibor Kopjas's practice location on file with NPPES is 6812 State Route 162 Ste 209, Maryville, IL 62062-8562.
- What is Tibor Kopjas's phone number?
- The practice phone number listed in the NPPES registry for Tibor Kopjas is (618) 391-5061.
- Does Tibor Kopjas accept Medicare?
- Tibor Kopjas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tibor Kopjas's NPI active?
- Yes — Tibor Kopjas's NPI (1952332918) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.