ANNA MARIE SCOPELLITO-OLSEN (M.D.) – Internal Medicine Physician, NPI 1003897935
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
916 INTERNAL MEDICINE in ME
Provider Addresses for ANNA MARIE SCOPELLITO-OLSEN (M.D.)
25A June St Ste 113
Sanford, ME 040732642
Phone: (207) 490-7334
Type: Location
96, Midland Road, Staten Island, Richmond County, New York, 10308, United States
STATEN ISLAND, NY 103082918
Phone: (718) 668-6963
Fax: (718) 351-2147
Type: Mailing
1776 Richmond Rd
Staten Island, NY 103062578
Phone: (718) 668-6963
Fax: (718) 351-2147
Type: Location
25A JUNE ST STE 111
SANFORD, ME 040732642
Phone: (207) 490-7998
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Novo Nordisk Inc ($116).
Total Amount
$116
General + Research + Ownership
Payments
1
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $116 |
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: 2017-04-11
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 |
|---|---|---|---|---|
| I20170411000449 | I | Internal Medicine | ME | 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 | 268 | 187 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 101 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 26 | $0 |
Insurance plans in this area (ZIP 04073)
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