Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821010349 Individual Practitioner Male Practitioner

Dr. Anthony J Pipitone , DO

Internal Medicine • Wheaton, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Pipitone, DO is a certified Internal Medicine practicing in Wheaton, IL. With approximately 27 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 1999, Dr. Pipitone delivers high-quality medical care to the local community at 7 BLANCHARD CIR.

Dr. Pipitone maintains professional affiliations with Central Dupage Physician Group, Select Rehabilitation, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7 Blanchard Cir
Suite 206

Wheaton, IL 601892039

Telephone 6306530848
Fax 6306530988
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wheaton, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +2.2 yrs vs City Avg
City Avg: 24.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Wheaton, IL (7544 Statewide)

Telehealth Adoption Rate
56.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pipitone (27 Years) 27 Yrs
Wheaton Specialty Average (24.8 Years) 24.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
603 420 $194.00 $135.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
342 342 $270.00 $138.33
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
216 158 $49.00 $17.10
36415 Insertion of needle into vein for collection of blood sample
108 94 $35.00 $8.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
96 34 $216.00 $113.01
G0008 Administration of influenza virus vaccine
75 75 $38.00 $33.45
90662 Influenza vaccine split virus, preservative free
72 72 $110.00 $81.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
41 37 $268.00 $190.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
39 36 $165.00 $56.79
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
32 30 $245.00 $139.81
93000 Routine ekg using at least 12 leads including interpretation and report
28 27 $96.00 $15.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
23 23 $290.00 $176.26
99213 Established patient office or other outpatient visit, typically 15 minutes
22 22 $123.00 $96.10
99443 Telephone medical discussion with physician, 21-30 minutes
21 18 $250.00 $135.75
99442 Telephone medical discussion with physician, 11-20 minutes
20 18 $175.00 $95.97
G0009 Administration of pneumococcal vaccine
19 19 $38.00 $33.45
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
19 19 $356.00 $289.66
83036 Hemoglobin A1C level
18 15 $58.00 $9.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
18 18 $341.00 $175.00
99495 Transitional care management services for problem of at least moderate complexity
17 17 $355.00 $206.42
99496 Transitional care management services for problem of high complexity
17 15 $500.00 $295.61
99497 Advance care planning, first 30 minutes
14 14 $252.00 $86.85

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036105141

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036105141 (IL)
Commercial Insurance / Payer ID Medicare Ptan (Individual)
L97245 (IL)
Commercial Insurance / Payer ID Medicare Railroad
P00005551 (IL)

Hospital & Practice Group Affiliations

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Central Dupage Physician Group

7 Blanchard Cir, Wheaton, IL 601892037

Phone: 6306530848

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Zainab Alsamarae

Pharmacist - Ambulatory Care

NPI 1154023398
Dr. Douglas Ambler , MD

Internal Medicine

NPI 1154343689

Doctor of Medicine (M.D.)

Dr. Nadia Khan , MD

Internal Medicine

NPI 1154413136

Doctor of Medicine (M.D.)

Gerard Geurts , PA-C

Physician Assistant

NPI 1225010119

Physician Assistant (Certified)

Candice Robb-Rarey

Internal Medicine

NPI 1235372996
NPI 1275345340

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2013

Registered at 7 BLANCHARD CIR, SUITE 206, WHEATON, IL 601892039 (Tel: 6306530848)

📍
Updated Business Mailing Address May 18, 2013

Registered at 7 BLANCHARD CIR, SUITE 206, WHEATON, IL 601892039 (Tel: 6306530848)

👤
Provider Name / Credentials Updated May 18, 2013

Recorded as ANTHONY PIPITONE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2013

Internal Medicine (License #036105141 in IL)

🟢
Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821010349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: May 18, 2013
Sole Proprietor: No

Mailing Address

7 Blanchard Cir, Suite 206

Wheaton, IL 601892039

Phone: 6306530848

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.