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Active NPI 1003138181 Individual Practitioner Male Practitioner

Samuel M. Kippenberger , PA-C

Physician Assistant • Springfield, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Kippenberger, PA-C is a certified Physician Assistant practicing in Springfield, VT. With approximately 17 years of clinical experience since completing medical education in 2009, Samuel Kippenberger delivers high-quality medical care to the local community at 25 RIDGEWOOD RD.

Samuel Kippenberger is affiliated with Intensive Care Consortium Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, insertion of artery tube for blood sampling or infusion through skin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Ridgewood Rd
Esne/springfield Hospital Emergency Department

Springfield, VT 051563050

Telephone 8028857540
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, VT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +7.9 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Springfield, VT (325 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kippenberger (17 Years) 17 Yrs
Springfield Specialty Average (9.1 Years) 9.1 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
18 18 $275.00 $65.30
99291 Critical care, first 30-74 minutes
13 13 $1275.00 $175.59

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VT 055.0031092

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30337990 (NH)
Medicaid State Provider ID
9000464 (VT)

Hospital & Practice Group Affiliations

Intensive Care Consortium Inc

333 Borthwick Ave, Portsmouth, NH 038014198

Phone: 6034365110

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1275003980
Jessica White , PA-C

Physician Assistant - Surgical

NPI 1811200710

Physician Assistant (Certified)

Rachel Spengler , PA-C

Physician Assistant - Medical

NPI 1811983307

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2013

Registered at 25 RIDGEWOOD RD, ESNE/SPRINGFIELD HOSPITAL EMERGENCY DEPARTMENT, SPRINGFIELD, VT 051563050 (Tel: 8028857540)

📍
Updated Business Mailing Address October 23, 2013

Registered at 25 RIDGEWOOD RD, ESNE/SPRINGFIELD HOSPITAL EMERGENCY DEPARTMENT, SPRINGFIELD, VT 051563050 (Tel: 8028857540)

👤
Provider Name / Credentials Updated October 23, 2013

Recorded as SAMUEL KIPPENBERGER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2013

Physician Assistant (License #055.0031092 in VT)

🟢
Initial NPI Registration & Enumeration February 17, 2010

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: 1003138181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2010
Last Update: October 23, 2013
Sole Proprietor: No

Mailing Address

25 Ridgewood Rd, Esne/springfield Hospital Emergency Department

Springfield, VT 051563050

Phone: 8028857540

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.