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JAMES CIPOLLA MD
NPI 1780615468
Surgery - Surgical Critical Care in Fountain Hill, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
701 OSTRUM ST, SUITE 202, FOUNTAIN HILL, PA 18015(484) 526-2200(484) 526-2398 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Cipolla Md NPPES

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

JAMES CIPOLLA MD (NPI 1780615468) is an individual surgical critical care provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD421437) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Medical College Of Pennsylvania (1995).

NPPES Registry Identity

NPI1780615468
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameJAMES CIPOLLACredential: MD
Location Address701 OSTRUM ST, SUITE 202Fountain Hill, PA 18015-1155
Mailing Address701 Ostrum St, Suite 202Fountain Hill, PA 18015-1155 · (484) 526-2200 · Fax (484) 526-2398
Phone(484) 526-2200
Fax(484) 526-2398
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1995
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 2, 2013
✔ NPI 1780615468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in PA · MD421437
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
701 OSTRUM ST, Fountain Hill, PA 18015
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH85740
Medicare PIN070279PA
Medicaid001963739PA

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

James Cipolla Md 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 ID5092732545
PECOS Enrollment IDI20051025000244
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
211 services154 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
86 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

BREANNA LITTLE
Physician Assistant
701 OSTRUM ST, SUITE 302
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-6000
DR. STEPHEN ANTHONY OLENCHOCK JR. D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
701 OSTRUM ST, SUITE 201
FOUNTAIN HILL, PA 18015
Northampton County (610) 954-3890
ST. LUKE'S PHYSICIAN GROUP, INC.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 OSTRUM ST, SUITE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
LEHIGH VALLEY NEPHROLOGY ASSOC
Internal Medicine (Nephrology)
701 OSTRUM ST, SUITE 602
BETHLEHEM, PA 18015
Northampton County (610) 865-5888
BETHLEHEM SURGICAL CENTER PC
Surgery (Vascular Surgery)
701 OSTRUM ST, STE 504
BETHLEHEM, PA 18015
Northampton County (610) 867-2371
AMY D. SCOTT CRNP
Nurse Practitioner (Obstetrics & Gynecology)
701 OSTRUM ST, SUITE 203
FOUNTAIN HILL, PA 18015
Northampton County (610) 691-3603
JAN D CAUFFMAN CRNP
Nurse Practitioner
701 OSTRUM ST
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3648
GEANNINE ELISA SCHIAVONE PA-C
Physician Assistant (Medical)
701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3990

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 James Cipolla's NPI number?

The NPI number for James Cipolla is 1780615468. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is James Cipolla located?

James Cipolla practices at 701 Ostrum St Suite 202, Fountain Hill, PA 18015. The listed phone number is (484) 526-2200.

What is James Cipolla's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is James Cipolla enrolled in Medicare?

Yes. James Cipolla 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 James Cipolla affiliated with any hospitals?

According to CMS data, James Cipolla is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, Grand View Health, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for James Cipolla was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.