DR. JOHN M IPPOLITO (M.D.) – Internal Medicine Physician, NPI 1215929708

DR. JOHN M IPPOLITO (M.D.) is a healthcare provider. based in Council bluffs, Iowa. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25954 (IA). The NPI Number for DR. JOHN M IPPOLITO (M.D.) is 1215929708

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN M IPPOLITO (M.D.)
NPI
1215929708
Phone
(712) 256-0791
Address
201 RIDGE ST STE 301
Enumeration Date
19 August 2005
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7122560791
Graduation Year
1984 (42 years ago)
PAC ID
1052207776
Professional Enrollment ID
I20040227000428
Address ID
IA515034643CO201XXSTXX315
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,353 INTERNAL MEDICINE in IA

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Provider Addresses for DR. JOHN M IPPOLITO (M.D.)

  • 201 RIDGE ST STE 301

    COUNCIL BLUFFS, IA 515034643

    Phone: (712) 256-0791

    Fax: (712) 256-0807

    Type: Mailing

  • Council Bluffs, Pottawattamie County, Iowa, United States

    SUITE 201

    COUNCIL BLUFFS, IA 515034643

    Phone: (402) 978-5150

    Fax: (402) 341-3616

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040227000428IInternal MedicineIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes39992$0
99214Established patient office or other outpatient visit, 30-39 minutes16367$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11621$0
90674Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free3030$0
G0008Administration of influenza virus vaccine2929$0
View full utilization report →

Insurance plans in this area (ZIP 51503)

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Reviews

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Frequently asked questions

How do payers reference DR. JOHN M IPPOLITO (M.D.)?
For DR. JOHN M IPPOLITO (M.D.), use NPI 1215929708 as the unique 10-digit identifier.
Is DR. JOHN M IPPOLITO (M.D.) still an active registrant?
DR. JOHN M IPPOLITO (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JOHN M IPPOLITO (M.D.)'s focus?
For DR. JOHN M IPPOLITO (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Iowa is DR. JOHN M IPPOLITO (M.D.) registered?
Use Council Bluffs, Iowa as the headline location for DR. JOHN M IPPOLITO (M.D.) here.
When was this NPI issued?
Enumeration for DR. JOHN M IPPOLITO (M.D.) is noted as August 19, 2005 where the registry provides it.

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