ANDREW MARK LIPTON D.O.
NPI 1053425892
Family Medicine in Narberth, PA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
70.08/100
CMS Quality Rating
822 MONTGOMERY AVE, SUITE 315, NARBERTH, PA 19072(610) 667-4601(610) 667-6416 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Mark Lipton D.o. NPPES

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

ANDREW MARK LIPTON D.O. (NPI 1053425892) is an individual family medicine provider in Narberth, Pennsylvania, licensed in Pennsylvania (OS007794L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Kansas City University Of Physicians And Surgeons (1991).

NPPES Registry Identity

NPI1053425892
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW MARK LIPTONCredential: D.O.
Location Address822 MONTGOMERY AVE, SUITE 315Narberth, PA 19072-1937
Mailing Address822 Montgomery Ave, Suite 315Narberth, PA 19072 · (610) 667-4601 · Fax (610) 667-6416
Fax(610) 667-6416
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1991
Enumeration DateAugust 18, 2006
Last NPPES UpdateDecember 8, 2011
NPI 1053425892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS007794L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
822 MONTGOMERY AVE, Narberth, PA 19072

Other Identifiers 2

Medicare ID-Type Unspecified726442PA
Medicare UPINF39699PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Mark Lipton D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315027299
PECOS Enrollment IDI20080104000209
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,859 services400 patients
Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
1,790 services398 patients
Acupuncture, each additional 15 minutes 97811
Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.
363 services22 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
191 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services100 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19072 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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.

70.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.09
Promoting Interoperability100
Improvement Activities40
Cost18.17

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%46 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
44%45 patients3/55-star benchmark: 100%
Advance Care Plan
30%502 patients2/55-star benchmark: 100%
Cervical Cancer Screening
13%331 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
36%216 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
14%630 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
57%121 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%43 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%43 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%4,110 patients4/55-star benchmark: 100%
e-Prescribing
99%550 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%1,075 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%3,442 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 46% · 725 patients
Patients screened: 49% · 725 patients
9%23 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%563 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 462 patients
Patients totalRate: 15% · 503 patients
17%503 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$12.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$24.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$63.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
822 MONTGOMERY AVE
NARBERTH, PA 19072
Speech-Language Pathologist
822 MONTGOMERY AVE
NARBERTH, PA 19072
Speech-Language Pathologist
822 MONTGOMERY AVE
NARBERTH, PA 19072
Speech-Language Pathologist
822 MONTGOMERY AVE
NARBERTH, PA 19072
Social Worker (Clinical)
822 MONTGOMERY AVE, SUITE 316
NARBERTH, PA 19072
Speech-Language Pathologist
822 MONTGOMERY AVE
NARBERTH, PA 19072
Speech-Language Pathologist
822 MONTGOMERY AVE
NARBERTH, PA 19072
Speech-Language Pathologist
822 MONTGOMERY AVE
NARBERTH, PA 19072

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 Andrew Lipton's NPI number?

The NPI number for Andrew Lipton is 1053425892. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Andrew Lipton located?

Andrew Lipton practices at 822 Montgomery Ave Suite 315, Narberth, PA 19072. The listed phone number is (610) 667-4601.

What is Andrew Lipton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Lipton enrolled in Medicare?

Yes. Andrew Lipton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andrew Lipton affiliated with any hospitals?

According to CMS data, Andrew Lipton is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Lipton was last updated on December 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.