Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANTHONY S PADULA M.D.
NPI 1235103813
Internal Medicine - Rheumatology in San Francisco, CA

Active since February 13, 2006Opted out of Medicare · through Apr 1, 2028
68.78/100
CMS Quality Rating
450 SUTTER ST RM 840, SAN FRANCISCO, CA 94108(415) 963-4431(415) 963-4432 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony S Padula M.d. NPPES

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

ANTHONY S PADULA M.D. (NPI 1235103813) is an individual rheumatology provider in San Francisco, California, licensed in California (A83508) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1998).

NPPES Registry Identity

NPI1235103813
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameANTHONY S PADULACredential: M.D.
Location Address450 SUTTER ST RM 840San Francisco, CA 94108-3915
Mailing Address450 Sutter St Rm 840San Francisco, CA 94108-3915 · (415) 963-4431 · Fax (415) 963-4432
Fax(415) 963-4432
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1998
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1235103813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · A83508
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License A83508 (CA)
Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X · License A83508 (CA)
450 SUTTER ST RM 840, San Francisco, CA 94108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Anthony S Padula M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 16

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
53,400 services17 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
42,680 services13 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
14,500 services22 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
11,600 services21 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,080 services11 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.
988 services333 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94108 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

68.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.94
Promoting Interoperability100
Improvement Activities40
Cost17.99

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%2,999 patients5/55-star benchmark: 100%
Gout: Serum Urate Target
78%88 patients
Hepatitis B Safety Screening
52%61 patients
Provide Patients Electronic Access to Their Health Information
93%654 patients4/55-star benchmark: 100%
Safe Hydroxychloroquine Dosing
72%83 patients
Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
94%35 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Family Medicine
450 SUTTER ST RM 840
SAN FRANCISCO, CA 94108
Nurse Practitioner (Adult Health)
450 SUTTER ST RM 840
SAN FRANCISCO, CA 94108
Clinic/Center (Primary Care)
450 SUTTER ST RM 840
SAN FRANCISCO, CA 94108

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 Padula's NPI number?

The NPI number for Anthony Padula is 1235103813. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Anthony Padula located?

Anthony Padula practices at 450 Sutter St Rm 840, San Francisco, CA 94108. The listed phone number is (415) 963-4431.

What is Anthony Padula's specialty?

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

Is Anthony Padula enrolled in Medicare?

No. Anthony Padula has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anthony Padula was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.