DR. ANTHONY DAVID PUOPOLO II M.D.
NPI 1275602625
Family Medicine in San Diego, CA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
300 FIR ST, SAN DIEGO, CA 92101(858) 499-2777(619) 557-2770 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Anthony David Puopolo Ii M.d. NPPES

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

DR. ANTHONY DAVID PUOPOLO II M.D. (NPI 1275602625) is an individual family medicine provider in San Diego, California, licensed in California (A104552) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1999).

NPPES Registry Identity

NPI1275602625
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTHONY DAVID PUOPOLO IICredential: M.D.
Location Address300 FIR STSan Diego, CA 92101-2327
Mailing Address300 Fir StSan Diego, CA 92101-2327 · (858) 499-2777 · Fax (619) 557-2770
Fax(619) 557-2770
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1999
Enumeration DateNovember 7, 2006
Last NPPES UpdateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1275602625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A104552
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A104552 (CA)
300 FIR ST, San Diego, CA 92101

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony David Puopolo Ii M.d. 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 ID5890854442
PECOS Enrollment IDI20081111000600, I20200529002322, I20240215002672, I20240227000632, I20240821001043, I20240927000190, I20250122000307, I20250128000206, I20250203000459, I20250205003834, I20250415003381, I20250422002473, I20250502001438, I20250716003153
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 Reassignments

6

Medicare enrollment records show Anthony Puopolo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1200 WILSHIRE BLVD STE 800
Los Angeles, CA 90017
  • Reassigned Medicare billing, California, Idaho, Montana and Washington enrollments
  • 4 clinicians in this Medicare group
Clinic/Center
325 N SAINT PAUL ST STE 3100
Dallas, TX 75201
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Clinic/Center
100 W BIG BEAVER RD STE 200
Troy, MI 48084
  • Reassigned Medicare billing, Illinois, Indiana and Ohio enrollments
  • 3 clinicians in this Medicare group
Clinic/Center
111 N ORANGE AVE STE 800
Orlando, FL 32801
  • Reassigned Medicare billing, Alabama, Florida, Georgia and Kentucky enrollments
  • 9 clinicians in this Medicare group
Multi-Specialty
510 CLINTON SQ
Rochester, NY 14604
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
Clinic/Center
221 RIVER ST STE 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, Maryland, North Carolina, New Jersey, Pennsylvania, South Carolina and Virginia enrollments
  • 7 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

Internal Medicine
300 FIR ST
SAN DIEGO, CA 92101
Preventive Medicine (Occupational Medicine)
300 FIR ST
SAN DIEGO, CA 92101
Pharmacist
300 FIR ST
SAN DIEGO, CA 92101
Pharmacist
300 FIR ST
SAN DIEGO, CA 92101
Family Medicine
300 FIR ST
SAN DIEGO, CA 92101
Physical Therapist
300 FIR ST
SAN DIEGO, CA 92101
Physical Therapist
300 FIR ST
SAN DIEGO, CA 92101
Radiology (Diagnostic Radiology)
300 FIR ST
SAN DIEGO, CA 92101

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 Puopolo's NPI number?

The NPI number for Anthony Puopolo is 1275602625. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Anthony Puopolo located?

Anthony Puopolo practices at 300 Fir St, San Diego, CA 92101. The listed phone number is (858) 499-2777.

What is Anthony Puopolo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Puopolo enrolled in Medicare?

Yes. Anthony Puopolo 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.

Which organizations bill Medicare for Anthony Puopolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Puopolo reassigns Medicare benefits to 6 organizations: Puopolo MD PC (Los Angeles, CA), Lifemd South Central Patient Medical Care PA (Dallas, TX), Lifemd Midwest Patient Medical Care PC (Troy, MI), Lifemd Southern Patient Medical Care PC (Orlando, FL), New York Patient Medical Care PC (Rochester, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Puopolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Puopolo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas and CareSource and 1 other insurer list Anthony Puopolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Puopolo was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.