DR. JOHN A IPPOLITO DO
NPI 1043275605
Internal Medicine - Rheumatology in Setauket, NY

Active since April 18, 2006PECOS Enrolled
22.67/100
CMS Quality Rating
100 S JERSEY AVE, UNIT 19, SETAUKET, NY 11733(631) 689-5000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. John A Ippolito Do NPPES

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

DR. JOHN A IPPOLITO DO (NPI 1043275605) is an individual rheumatology provider in Setauket, New York, licensed in New York (167286) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043275605
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JOHN A IPPOLITOCredential: DO
Location Address100 S JERSEY AVE, UNIT 19Setauket, NY 11733-2034
Mailing Address100 S Jersey AveSetauket, NY 11733-2034 · (631) 689-5000
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1043275605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 167286
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
100 S JERSEY AVE, Setauket, NY 11733

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John A Ippolito Do 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.

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.

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.
410 services313 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.
101 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

22.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost75.56

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.

Family Medicine
100 S JERSEY AVE, SUITE 14
EAST SETAUKET, NY 11733
Dentist (General Practice)
100 S JERSEY AVE, SUITE 12
EAST SETAUKET, NY 11733
Family Medicine
100 S JERSEY AVE, SUITE 14
SETAUKET, NY 11733
Dietitian, Registered
100 S JERSEY AVE, SUITE 14
SETAUKET, NY 11733
Marriage & Family Therapist
100 S JERSEY AVE, SUITE 42
EAST SETAUKET, NY 11733
Dentist (Prosthodontics)
100 S JERSEY AVE, SUITE 29
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Child & Adolescent Psychiatry)
100 S JERSEY AVE, UNIT #1
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Psychiatry)
100 S JERSEY AVE, UNIT #1
EAST SETAUKET, NY 11733

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 John Ippolito's NPI number?

The NPI number for John Ippolito is 1043275605. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is John Ippolito located?

John Ippolito practices at 100 S Jersey Ave Unit 19, Setauket, NY 11733. The listed phone number is (631) 689-5000.

What is John Ippolito's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is John Ippolito enrolled in Medicare?

Yes. John Ippolito is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Ippolito was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.