PETER ALLAN IPPOLITI
NPI 1619750015
Physician Assistant in Tulsa, OK

Q: What is Peter Ippoliti's NPI number?

The NPI number for Peter Ippoliti is 1619750015. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Q: What is Peter Ippoliti's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Ippoliti was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment

1120 S UTICA AVE, TULSA, OK 74104(405) 880-8046 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2026, Aug 17, 2023 (2 updates tracked since 2023).

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About Peter Allan Ippoliti NPPES

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

PETER ALLAN IPPOLITI (NPI 1619750015) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5760) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619750015

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePETER ALLAN IPPOLITI

Location Address1120 S UTICA AVETulsa, OK 74104-4012

Mailing Address5801 E 41st St Ste 900Tulsa, OK 74135-5631 · (918) 934-8347 · Fax (918) 743-8552

Phone(405) 880-8046

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 17, 2023

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1619750015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5760

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1120 S UTICA AVE, Tulsa, OK 74104

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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

Peter Allan Ippoliti 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 ID7315427176

PECOS Enrollment IDI20260219001494

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.

Hospital Affiliations CMS Care Compare

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370001

Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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.

BRITTANY BENNETT

Dietitian, Registered