TANNER STIPPICH
NPI 1053924415
Physician Assistant in Lima, OH

Q: What is Tanner Stippich's NPI number?

The NPI number for Tanner Stippich is 1053924415. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Tanner Stippich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Stippich was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 26, 2020PECOS EnrolledAccepts Medicare Assignment

801 MEDICAL DR STE A, LIMA, OH 45804(419) 222-6622(419) 224-0015 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanner Stippich NPPES

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

TANNER STIPPICH (NPI 1053924415) is an individual physician assistant in Lima, Ohio and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053924415

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTANNER STIPPICH

Location Address801 MEDICAL DR STE ALima, OH 45804-4030

Mailing Address801 Medical Dr Ste ALima, OH 45804-4030 · (192) 226-6224 · Fax (419) 224-0015

Phone(419) 222-6622

Fax(419) 224-0015

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 26, 2020

Last NPPES UpdateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1053924415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 50007469RX (OH)

801 MEDICAL DR STE A, Lima, OH 45804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Tanner Stippich 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 ID1658765474

PECOS Enrollment IDI20220221002149

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 8

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

199 services167 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

46 services37 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

41 services40 patients

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.

31 services30 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

24 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

16 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360009

Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County

Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Van Wert County Hospital

Acute Care Hospitals · Van Wert, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360071

Location1250 S Washington StreetVan Wert, OH 45891 · Van Wert County

Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Institute For Orthopaedic Surgery

Acute Care Hospitals · Lima, OH

OwnershipProprietary

CMS Certification Number360263

Location801 Medical Drive, Suite BLima, OH 45804 · Allen County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

LOGAN MICHAEL RIEMAN CNP

Nurse Practitioner (Family)