DR. SALLY STIPHO M.D.
NPI 1467642215
Internal Medicine - Gastroenterology in San Diego, CA

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
4060 FOURTH AVE, STE 240, SAN DIEGO, CA 92103(619) 291-6064(619) 291-3492 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2023, Nov 12, 2019, Oct 1, 2019 (3 updates tracked since 2019).

About Dr. Sally Stipho M.d. NPPES

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

DR. SALLY STIPHO M.D. (NPI 1467642215) is an individual gastroenterology provider in San Diego, California, licensed in California (A104647) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1467642215
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SALLY STIPHOCredential: M.D.
Location Address4060 FOURTH AVE, STE 240San Diego, CA 92103-2120
Mailing Address4060 Fourth Ave, Ste 240San Diego, CA 92103-2120 · (619) 291-6064 · Fax (619) 291-3492
Fax(619) 291-3492
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 27, 2007
Last NPPES UpdateMay 26, 20233 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1467642215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in CA · A104647 Licensed in AZ · 33890
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4060 FOURTH AVE, San Diego, CA 92103

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. Sally Stipho 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 ID7810056090
PECOS Enrollment IDI20081103000200
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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
157 services150 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
106 services104 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
95 services91 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services49 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.
42 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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
4060 FOURTH AVE, SUITE 335
SAN DIEGO, CA 92103
Internal Medicine
4060 FOURTH AVE, SUITE 100
SAN DIEGO, CA 92103
Colon & Rectal Surgery
4060 FOURTH AVE, SUITE 510
SAN DIEGO, CA 92103
Physician Assistant
4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103
Physician Assistant (Medical)
4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103
Internal Medicine (Cardiovascular Disease)
4060 FOURTH AVE, SUITE 650
SAN DIEGO, CA 92103
Dietitian, Registered
4060 FOURTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4060 FOURTH AVE, SUITE 505
SAN DIEGO, CA 92103

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 Sally Stipho's NPI number?

The NPI number for Sally Stipho is 1467642215. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Sally Stipho located?

Sally Stipho practices at 4060 Fourth Ave Ste 240, San Diego, CA 92103. The listed phone number is (619) 291-6064.

What is Sally Stipho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sally Stipho enrolled in Medicare?

Yes. Sally Stipho 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.

When was this NPI record last updated?

The NPPES record for Sally Stipho was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.