DR. DUANE MICHAEL TIPPETS D.O.
NPI 1093011991
Orthopaedic Surgery in Anniston, AL

Active since February 10, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
731 LEIGHTON AVE, SUITE 300, ANNISTON, AL 36207(256) 236-4121(256) 237-5254 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Duane Michael Tippets D.o. NPPES

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

DR. DUANE MICHAEL TIPPETS D.O. (NPI 1093011991) is an individual orthopaedic surgery provider in Anniston, Alabama, licensed in Alabama (DO1260) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1093011991
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DUANE MICHAEL TIPPETSCredential: D.O.
Location Address731 LEIGHTON AVE, SUITE 300Anniston, AL 36207-5761
Mailing Address731 Leighton Ave, Suite 300Anniston, AL 36207-5761 · (256) 236-4121 · Fax (256) 237-5254
Fax(256) 237-5254
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 10, 2011
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1093011991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AL · DO1260
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.
731 LEIGHTON AVE, Anniston, AL 36207

Other Identifiers 2

Other511-27255AL · Blue Cross Blue Shield Of Alabama
Medicaid141206AL

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

Dr. Duane Michael Tippets 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 ID4880864701
PECOS Enrollment IDI20120808000749
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 28

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.
2,460 services230 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.
438 services184 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.
277 services193 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
220 services38 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
177 services100 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
177 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36207 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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 20

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

Obstetrics & Gynecology
731 LEIGHTON AVE, SUITE 401
ANNISTON, AL 36207
Nurse Practitioner (Family)
731 LEIGHTON AVE
ANNISTON, AL 36207
Orthopaedic Surgery
731 LEIGHTON AVE, SUITE 300
ANNISTON, AL 36207
Nurse Practitioner (Family)
731 LEIGHTON AVE
ANNISTON, AL 36207
Speech-Language Pathologist
731 LEIGHTON AVE
ANNISTON, AL 36207
Physical Therapist
731 LEIGHTON AVE
ANNISTON, AL 36207
Physical Therapist
731 LEIGHTON AVE, SUITE 405
ANNISTON, AL 36207
Physical Therapy Assistant
731 LEIGHTON AVE
ANNISTON, AL 36207

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 Duane Tippets's NPI number?

The NPI number for Duane Tippets is 1093011991. It was assigned to this individual provider in the NPPES registry on February 10, 2011.

Where is Duane Tippets located?

Duane Tippets practices at 731 Leighton Ave Suite 300, Anniston, AL 36207. The listed phone number is (256) 236-4121.

What is Duane Tippets's specialty?

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

Is Duane Tippets enrolled in Medicare?

Yes. Duane Tippets 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 Duane Tippets accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Duane Tippets 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 Duane Tippets was last updated on April 24, 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.