THOMAS LUPOLI (D.O) – Allergy & Immunology Physician, NPI 1174717276
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
274 ALLERGY/IMMUNOLOGY in FL
Provider Addresses for THOMAS LUPOLI (D.O)
2804 Saint Johns Bluff Rd S Ste 202
Jacksonville, FL 322463778
Phone: (904) 730-4870
Fax: (904) 730-4873
Type: Location
University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322164210
Phone: (904) 730-4870
Type: Mailing
1895, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
ORANGE PARK, FL 320734466
Phone: (904) 272-4504
Type: Location
12276 San Jose Blvd Ste 733
Jacksonville, FL 322238675
Phone: (904) 730-4870
Fax: (904) 730-4873
Type: Location
2255 Dunn Ave Ste 205
Jacksonville, FL 322184739
Phone: (904) 730-4870
Fax: (904) 730-4873
Type: Location
1825 KINGSLEY AVE STE 320
ORANGE PARK, FL 320734477
Phone: (904) 730-4870
Fax: (904) 730-4873
Type: Location
PO BOX 54008
JACKSONVILLE, FL 322454008
Phone: (904) 730-4870
Fax: (904) 730-4873
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,786.
Total Amount is formed as General ($1,786) + Research ($0) + Ownership ($0) = $1,786.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($474).
Total Amount
$1,786
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,786
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-03-29
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 |
|---|---|---|---|---|
| I20100329000208 | I | Allergy/Immunology | FL | 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 |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 6,090 | 13 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,770 | 114 | $0 |
| 95117 | Professional service for multiple injections of allergen | 1,986 | 111 | $0 |
| 95004 | Test for allergy using allergenic extract | 1,546 | 24 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 731 | 20 | $0 |
Insurance plans in this area (ZIP 32246)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | FL | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 2134 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | FL |
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