SAMUEL M. KIPPENBERGER PA-C
NPI 1003138181
Physician Assistant in Springfield, VT

Active since February 17, 2010PECOS EnrolledAccepts Medicare Assignment
25 RIDGEWOOD RD, ESNE/SPRINGFIELD HOSPITAL EMERGENCY DEPARTMENT, SPRINGFIELD, VT 05156(802) 885-7540 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel M. Kippenberger Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL M. KIPPENBERGER PA-C (NPI 1003138181) is an individual physician assistant in Springfield, Vermont, licensed in Vermont (055.0031092) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Catholic Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003138181
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL M. KIPPENBERGERCredential: PA-C
Location Address25 RIDGEWOOD RD, ESNE/SPRINGFIELD HOSPITAL EMERGENCY DEPARTMENTSpringfield, VT 05156-3050
Mailing Address25 Ridgewood Rd, Esne/springfield Hospital Emergency DepartmentSpringfield, VT 05156-3050 · (802) 885-7540
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 17, 2010
Last NPPES UpdateOctober 23, 2013
NPI 1003138181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VT · 055.0031092
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
25 RIDGEWOOD RD, Springfield, VT 05156

Other Identifiers 3

Medicaid30337990NH
Medicaid9000464VT
Medicare PIN0014873NH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel M. Kippenberger Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496880643
PECOS Enrollment IDI20100313000005
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05156 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Women's Health Care, Ambulatory)
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156
Physical Therapist
25 RIDGEWOOD RD, SPRINFIELD MEDICAL CARE SYSTEM
SPRINGFIELD, VT 05156
Physician Assistant
25 RIDGEWOOD RD, EMERGENCY DEPARTMENT
SPRINGFIELD, VT 05156
Physical Therapist
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156
Physical Therapy Assistant
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156
Physician Assistant
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156
Physical Therapist
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156
Pediatrics
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kippenberger's NPI number?

The NPI number for Samuel Kippenberger is 1003138181. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Where is Samuel Kippenberger located?

Samuel Kippenberger practices at 25 Ridgewood Rd Esne/Springfield Hospital Emergency Department, Springfield, VT 05156. The listed phone number is (802) 885-7540.

What is Samuel Kippenberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Kippenberger enrolled in Medicare?

Yes. Samuel Kippenberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Kippenberger affiliated with any hospitals?

According to CMS data, Samuel Kippenberger is affiliated with Catholic Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Kippenberger was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.