1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Internal Medicine
  6. NPI Profile

MICHAEL A. LIPSITT MD
NPI 1043206477
Internal Medicine - Cardiovascular Disease in Lawrenceville, GA

Active since September 21, 2005PECOS Enrolled
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046(678) 312-9100(678) 312-9101 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael A. Lipsitt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL A. LIPSITT MD (NPI 1043206477) is an individual cardiovascular disease provider in Lawrenceville, Georgia, licensed in Georgia (18924) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043206477
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL A. LIPSITTCredential: MD
Location Address766 WALTHER RD, SUITE 100Lawrenceville, GA 30046-8764
Mailing Address766 Walther Rd, Suite 100Lawrenceville, GA 30046-8764 · (678) 312-9100 · Fax (678) 312-9101
Phone(678) 312-9100
Fax(678) 312-9101
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJune 5, 2013
✔ NPI 1043206477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 18924
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 18924 (GA)
766 WALTHER RD, Lawrenceville, GA 30046
Open in Google Maps ↗

Other Identifiers 2

Medicaid00158848CGA
Medicare UPIND45950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael A. Lipsitt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Lipsitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Hospital, Inc.
0.8 mi
General Acute Care Hospital
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gwinnett Hospital System, Inc.
  • 98 clinicians in this Medicare group
NPI 1952340994 (678) 312-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
1%78 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
79%78 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
81%3,072 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%4,922 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
49%1,194 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%1,035 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%1,840 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,840 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%1,840 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 1,157 patients
3%1,157 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%1,840 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE MARY SIEDOR PA
Physician Assistant (Medical)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
LEMUEL G VILLANUEVA MD
Obstetrics & Gynecology
766 WALTHER RD, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2485
DR. AJAZ L CHAUDHRY M.D.
Otolaryngology
766 WALTHER RD, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 237-3000
GREGORY TODD FOUNTAIN MD
Obstetrics & Gynecology
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 985-8001
MARC I. UNTERMAN MD
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
DR. MARCUS CERI SIMS M.D.
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
ATLANTA GWINNETT WOMEN'S SPECIALISTS
Obstetrics & Gynecology
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2485
GWINNETT HEART SPECIALISTS LLC
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Lipsitt's NPI number?

The NPI number for Michael Lipsitt is 1043206477. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Michael Lipsitt located?

Michael Lipsitt practices at 766 Walther Rd Suite 100, Lawrenceville, GA 30046. The listed phone number is (678) 312-9100.

What is Michael Lipsitt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Lipsitt enrolled in Medicare?

Yes. Michael Lipsitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Lipsitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lipsitt reassigns Medicare benefits to Northside Hospital, Inc. (Lawrenceville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Lipsitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lipsitt accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael Lipsitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Lipsitt was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.