SAMUEL JOSEPH CIPOLETTI (M.D) – Internal Medicine Physician, NPI 1477576429
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SAMUEL JOSEPH CIPOLETTI (M.D)
Blossom Hill Road, San Jose, Santa Clara County, California, 95123-2428, United States
SAN JOSE, CA 951233212
Phone: (408) 281-2772
Type: Location
2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States
STE 900
EMERYVILLE, CA 946081826
Phone: (510) 350-2600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($88).
Total Amount
$147
General + Research + Ownership
Payments
7
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $88 |
| Exact Sciences Corporation | $59 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070409000629 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 95123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Internal Medicine, Hospitalist | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine, Internal Medicine, Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA |
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