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DR. ANTHONY CIPOLLA MD
NPI 1063417327
Internal Medicine in North Babylon, NY

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1486 DEER PARK AVE UNIT A, NORTH BABYLON, NY 11703(631) 422-3200(631) 422-6597 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2021, Mar 17, 2017 (2 updates tracked since 2017).

About Dr. Anthony Cipolla Md NPPES

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

DR. ANTHONY CIPOLLA MD (NPI 1063417327) is an individual internal medicine provider in North Babylon, New York, licensed in New York (175335) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1063417327
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANTHONY CIPOLLACredential: MD
Location Address1486 DEER PARK AVE UNIT ANorth Babylon, NY 11703-1214
Mailing Address1486 Deer Park Ave Unit ANorth Babylon, NY 11703-1214 · (631) 422-3200 · Fax (631) 422-6597
Phone(631) 422-3200
Fax(631) 422-6597
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1063417327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 175335
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.
1486 DEER PARK AVE UNIT A, North Babylon, NY 11703
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Other Identifiers 16

Other41397NY · Vytra
OtherCP542NY · Oxford
Other175335NY · License #
Other010175331NY01NY · Anthem Health Id#
Other08G261NY · Blue Cross Blue Shield Id
Other110227279NY · Railroad Medicare
Medicaid01572247NY
Other045244NY · Aetna/us Healthcare
Other2505064NY · Ghi
Other4331591NY · Aetna Id
Other0435421NY · Cigna
Other3C3154NY · Healthnet
OtherCIM175335NY · Nf/wc
Other0976486000NY · Amerihealth Id #
Other1143305NY · United Healthcare
OtherP62369454NY · Multiplan

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

Dr. Anthony Cipolla Md 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 ID3779505219
PECOS Enrollment IDI20051227000224
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 8

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 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.
441 services234 patients
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.
366 services232 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
277 services204 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
127 services123 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
105 services105 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
76 services75 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11703 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 6

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
14 suppliers45 claims128 services$6.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers24 claims40 services$1.19 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims180 services$4.91 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$7.66 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims600 services$1.67 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$40.81 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 2

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

ELIZABETH BLAIR JENKS FNP-BC
Nurse Practitioner (Family)
1486 DEER PARK AVE UNIT A
NORTH BABYLON, NY 11703
Suffolk County (631) 425-3811
ANNA MARIA CATERINA GUNTHER PNP
Nurse Practitioner (Pediatrics)
1486 DEER PARK AVE UNIT A
NORTH BABYLON, NY 11703
Suffolk County (631) 425-3811

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 Anthony Cipolla's NPI number?

The NPI number for Anthony Cipolla is 1063417327. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Anthony Cipolla located?

Anthony Cipolla practices at 1486 Deer Park Ave Unit A, North Babylon, NY 11703. The listed phone number is (631) 422-3200.

What is Anthony Cipolla's specialty?

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

Is Anthony Cipolla enrolled in Medicare?

Yes. Anthony Cipolla 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 Anthony Cipolla affiliated with any hospitals?

According to CMS data, Anthony Cipolla is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Cipolla was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.