DR. NICOLE ANNE SCIVOLETTI-POLAN (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1699098095
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,893 INTERNAL MEDICINE in NJ
Provider Addresses for DR. NICOLE ANNE SCIVOLETTI-POLAN (D.O.)
17 W Red Bank Ave Ste 104
Woodbury, NJ 080961630
Phone: (856) 853-2025
Fax: (856) 845-8024
Type: Location
134 BRIDGETON PIKE
MULLICA HILL, NJ 080622616
Phone: (856) 507-2783
Fax: (856) 221-4138
Type: Mailing
201 TOMLIN STATION RD STE D
MULLICA HILL, NJ 080621612
Phone: (856) 853-2025
Fax: (856) 845-8024
Type: Location
900 MEDICAL CENTER DR
SUITE 201
SEWELL, NJ 080802358
Phone: (844) 542-2273
Fax: (856) 553-4390
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $796.
Total Amount is formed as General ($796) + Research ($0) + Ownership ($0) = $796.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($315).
Total Amount
$796
General + Research + Ownership
Payments
65
Total payment records
General Amount
$796
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
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: 2013-05-24
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 |
|---|---|---|---|---|
| I20130524000345 | I | Pulmonary Disease | NJ | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 192 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 105 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 140 | 134 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 84 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | 66 | $0 |
Insurance plans in this area (ZIP 08096)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | NJ | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Vascular Surgery | NJ | |
| Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists) | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Internal Medicine, Gastroenterology | NJ | |
| Family Practice | NJ | |
| P S Y C H I A T R Y | NJ |
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