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AYODELE C IPPOLITO
NPI 1639897788
Physician Assistant in Rochester, NY

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
2613 W HENRIETTA RD STE B, ROCHESTER, NY 14623(585) 279-4999(585) 473-5152 Get Directions Write a Review

NPPES record last updated: July 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2023, Nov 29, 2022, Aug 16, 2022 (3 updates tracked since 2022).

About Ayodele C Ippolito NPPES

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

AYODELE C IPPOLITO (NPI 1639897788) is an individual physician assistant in Rochester, New York, licensed in New York (029370) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639897788
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAYODELE C IPPOLITO
Location Address2613 W HENRIETTA RD STE BRochester, NY 14623-2327
Mailing Address300 Crittenden Blvd Box PsychRochester, NY 14642-0001 · (585) 276-8375
Phone(585) 279-4999
Fax(585) 473-5152
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2022
Last NPPES UpdateJuly 22, 20233 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1639897788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 029370
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 29370 (NY)
2613 W HENRIETTA RD STE B, Rochester, NY 14623
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Other Names 1

Former Name (1)Ayodele C Ifafore

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

Ayodele C Ippolito 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 ID3476922345
PECOS Enrollment IDI20221215001941
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.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.76
Promoting Interoperability100
Improvement Activities40
Cost30.21

Other Providers at the Same Location NPPES

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

SHIFRA MINCER MD
Family Medicine
2613 W HENRIETTA RD STE B
ROCHESTER, NY 14623
Monroe County (585) 279-4999

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 Ayodele Ippolito's NPI number?

The NPI number for Ayodele Ippolito is 1639897788. It was assigned to this individual provider in the NPPES registry on August 16, 2022. The provider is also known as Ayodele C Ifafore.

Where is Ayodele Ippolito located?

Ayodele Ippolito practices at 2613 W Henrietta Rd Ste B, Rochester, NY 14623. The listed phone number is (585) 279-4999.

What is Ayodele Ippolito's specialty?

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

Is Ayodele Ippolito enrolled in Medicare?

Yes. Ayodele Ippolito 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 Ayodele Ippolito affiliated with any hospitals?

According to CMS data, Ayodele Ippolito is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ayodele Ippolito was last updated on July 22, 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.