SHANE CASEY TIPTON MD
NPI 1073977948
Orthopaedic Surgery in Concord, NC

Q: What is Shane Tipton's NPI number?

The NPI number for Shane Tipton is 1073977948. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Shane Tipton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Tipton was last updated on July 15, 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 April 07, 2016PECOS Enrolled

100/100

CMS Quality Rating

1090 NE GATEWAY CT NE, STE 204, CONCORD, NC 28025(704) 403-7020 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 8 more (11 updates tracked since 2021).

On this page

About Shane Casey Tipton Md NPPES

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

SHANE CASEY TIPTON MD (NPI 1073977948) is an individual orthopaedic surgery provider in Concord, North Carolina, licensed in North Carolina (2022-00346) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1073977948

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameSHANE CASEY TIPTONCredential: MD

Location Address1090 NE GATEWAY CT NE, STE 204Concord, NC 28025-2414

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 403-7020

Sole ProprietorNo

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2016

Enumeration DateApril 7, 2016

Last NPPES UpdateJuly 15, 202411 updates tracked since enumeration

NPPES CertifiedJuly 14, 2022

✔ NPI 1073977948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NC · 2022-00346

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1090 NE GATEWAY CT NE, Concord, NC 28025

Open in Google Maps ↗

Secondary Practice Location 1

Location 15651 Poplar Tent Rd, Ste 200Concord, NC 28027-7686 · Phone (704) 403-7020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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)

Shane Casey Tipton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638465271

PECOS Enrollment IDI20220908002468

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 Shane Tipton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Charlotte-Mecklenburg Hospital Authority

Same address

Orthopaedic Surgery

1090 NE GATEWAY CT NE, STE 204
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1629432281 (704) 403-7020

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

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

820 services94 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.

188 services103 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

123 services100 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

119 services119 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.

118 services91 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

107 services19 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.

87 services80 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

60 services56 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

37 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

25 services25 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

19 services18 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

LORI LOVETT ROBINSON FNP

Nurse Practitioner

1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025

Cabarrus County (704) 403-9050

DR. KRISTINE VERA WADE AU.D

Audiologist-Hearing Aid Fitter

1090 NE GATEWAY CT NE, SUITE 101
CONCORD, NC 28025

Cabarrus County (704) 403-9100

PAUL BREZICKI MD

Family Medicine

1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025

Cabarrus County (704) 403-9050

JESSICA ANN PEOPLES PA

Physician Assistant

1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025

Cabarrus County (704) 403-9050

PATRICK THOMAS KELLY MD

Internal Medicine (Pulmonary Disease)

1090 NE GATEWAY CT NE, STE 201
CONCORD, NC 28025

Cabarrus County (704) 403-7770

LAUREN SMITH BARNHARDT FNP

Nurse Practitioner (Family)

1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025

Cabarrus County (704) 403-9050

PAIGE KNAPKE

Speech-Language Pathologist

1090 NE GATEWAY CT NE
CONCORD, NC 28025

Cabarrus County (704) 403-9100

ANDREW GILLETT FERRIS DO

Orthopaedic Surgery

1090 NE GATEWAY CT NE, STE 204
CONCORD, NC 28025

Cabarrus County (704) 403-7020

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 Shane Tipton's NPI number?

The NPI number for Shane Tipton is 1073977948. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Shane Tipton located?

Shane Tipton practices at 1090 NE Gateway Ct NE Ste 204, Concord, NC 28025. The listed phone number is (704) 403-7020.

What is Shane Tipton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Shane Tipton enrolled in Medicare?

Yes. Shane Tipton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Tipton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Tipton reassigns Medicare benefits to The Charlotte-Mecklenburg Hospital Authority (Concord, NC). 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 Shane Tipton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Tipton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Shane Tipton 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 Shane Tipton affiliated with any hospitals?

According to CMS data, Shane Tipton is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Tipton was last updated on July 15, 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.