Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Anthony Kopko, MD

Individual provider Orthopaedic Surgery Physician · NPI 1700102928

Dr. Kevin Anthony Kopko, MD is an Orthopedic Surgery in Fayetteville, New York. Graduated from Pennsylvania State University College of Medicine in 2010, 16 years ago. Practices with St Josephs Medical PC, a 385-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
16
Trained at
Pennsylvania State University College of Medicine
Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 Medical Center Dr Ste 115
Fayetteville, NY 13066
Phone: (315) 329-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 272408 (NY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 272408 (NY)

Record details

NPI number1700102928
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2010
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address4100 Medical Center Drive, Suite 115, Fayetteville, NY 13066

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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