SAMUEL M. KIPPENBERGER (PA-C) – Physician Assistant, NPI 1003138181
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
Provider Addresses for SAMUEL M. KIPPENBERGER (PA-C)
25 RIDGEWOOD RD
ESNE/SPRINGFIELD HOSPITAL EMERGENCY DEPARTMENT
SPRINGFIELD, VT 051563050
Phone: (802) 885-7540
Mailing address matches the actual address.
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.
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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: 2010-03-13
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 |
|---|---|---|---|---|
| I20100313000005 | I | Physician Assistant | NH | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 23 | $0 |
| 99291 | Critical care, first 30-74 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 05156)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VT | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 39 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists), Internal Medicine | FL | |
| Internal Medicine | NY | |
| Nurse Practitioner | FL | |
| Pulmonary Disease, Internal Medicine | OK | |
| - | SC | |
| - | VA | |
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| Internal Medicine, Critical Care (Intensivists) | OR | |
| - | FL | |
| Nurse Practitioner | NH |
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