JUSTIN TYLER LIPSEY PA
NPI 1053984013
Physician Assistant - Medical in Winchester, VA

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
611 E JUBAL EARLY DR, WINCHESTER, VA 22601(540) 536-5500(540) 536-5507 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jun 6, 2022, Jul 19, 2021 (3 updates tracked since 2021).

About Justin Tyler Lipsey Pa NPPES

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

JUSTIN TYLER LIPSEY PA (NPI 1053984013) is an individual medical provider in Winchester, Virginia, licensed in Virginia (0110007917) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1053984013
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUSTIN TYLER LIPSEYCredential: PA
Location Address611 E JUBAL EARLY DRWinchester, VA 22601-5178
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 536-5507
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 19, 2021
Last NPPES UpdateJanuary 31, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1053984013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VA · 0110007917
611 E JUBAL EARLY DR, Winchester, VA 22601

Secondary Practice Locations 8

Location 1160 Merchant St Ste 200Winchester, VA 22603-4772 · Phone (540) 536-5950 · Fax (540) 536-5955
Location 25301 Main StMount Jackson, VA 22842-9649 · Phone (540) 459-1250 · Fax (540) 459-1251
Location 333820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310 · Fax (540) 459-1311
Location 4415A South StFront Royal, VA 22630-2115 · Phone (540) 636-0495 · Fax (540) 636-0450
Location 565 Riverton Commons DrFront Royal, VA 22630-6768 · Phone (540) 635-0700
Location 6607 E Jubal Early DrWinchester, VA 22601-5178 · Phone (540) 536-2232 · Fax (540) 536-2206
Location 7160 Merchant St Ste 100Winchester, VA 22603-4772 · Phone (540) 536-5560 · Fax (540) 536-5561
Location 81440 Amherst StWinchester, VA 22601-3010 · Phone (540) 536-5400 · Fax (540) 536-5490

Accepted 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

Justin Tyler Lipsey Pa 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 ID9032596903
PECOS Enrollment IDI20220513002435
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 9

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.
150 services114 patients
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.
81 services72 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services42 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
25 services24 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Podiatrist
611 E JUBAL EARLY DR
WINCHESTER, VA 22601
Family Medicine
611 E JUBAL EARLY DR
WINCHESTER, VA 22601

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 Justin Lipsey's NPI number?

The NPI number for Justin Lipsey is 1053984013. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Justin Lipsey located?

Justin Lipsey practices at 611 E Jubal Early Dr, Winchester, VA 22601. The listed phone number is (540) 536-5500.

What is Justin Lipsey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Justin Lipsey enrolled in Medicare?

Yes. Justin Lipsey 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.

What insurance does Justin Lipsey accept?

Health plans from CareSource list Justin Lipsey 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.

Is Justin Lipsey affiliated with any hospitals?

According to CMS data, Justin Lipsey is affiliated with Winchester Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Lipsey was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.