ANNA MARIE SCOPELLITO-OLSEN M.D.
NPI 1003897935
Internal Medicine in Sanford, ME

Q: What is Anna Scopellito-olsen's NPI number?

The NPI number for Anna Scopellito-olsen is 1003897935. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Anna Scopellito-olsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 08, 2005PECOS Enrolled

25A JUNE ST STE 111, SANFORD, ME 04073(207) 490-7998 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2019, Feb 20, 2019 (2 updates tracked since 2019).

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About Anna Marie Scopellito-olsen M.d. NPPES

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

ANNA MARIE SCOPELLITO-OLSEN M.D. (NPI 1003897935) is an individual internal medicine provider in Sanford, Maine, licensed in Maine (MD21516) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003897935

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameANNA MARIE SCOPELLITO-OLSENCredential: M.D.

Location Address25A JUNE ST STE 111Sanford, ME 04073-2642

Mailing Address96 Midland RdStaten Island, NY 10308-2918 · (718) 668-6963 · Fax (718) 351-2147

Phone(207) 490-7998

Sole ProprietorNo

Enumeration DateNovember 8, 2005

Last NPPES UpdateApril 1, 20192 updates tracked since enumeration

✔ NPI 1003897935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in ME · MD21516✔ Licensed in NY · 168980

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 168980 (NY), MD21516 (ME)

25A JUNE ST STE 111, Sanford, ME 04073

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Secondary Practice Locations 2

Location 11776 Richmond RdStaten Island, NY 10306-2578 · Phone (718) 668-6963 · Fax (718) 351-2147

Location 225A June St Ste 113Sanford, ME 04073-2642 · Phone (207) 490-7334

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Marie Scopellito-olsen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Anna Scopellito-olsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Webber Hospital Association

12 mi

Pediatrics

2 BERRY CT
Kennebunk, ME 04043

Reassigned Medicare billing, Maine enrollment
Medicare enrollment name: Southern Maine Health Care
253 clinicians in this Medicare group

NPI 1194902809 (207) 985-8460

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

213 services154 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

96 services96 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers51 claims160 services$5.48 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers19 claims26 services$0.88 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers15 claims16 services$202.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

DR. BRENDAN JAMES PRAST MD, MPH

Family Medicine