HERBERT S M IP MD
NPI 1093027443
Internal Medicine in Windsor, VT

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
289 COUNTY RD, WINDSOR, VT 05089(802) 674-6711(802) 674-7349 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2025, Jun 18, 2024, Mar 9, 2021 and 1 more (4 updates tracked since 2015).

About Herbert S M Ip Md NPPES

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

HERBERT S M IP MD (NPI 1093027443) is an individual internal medicine provider in Windsor, Vermont, licensed in New Hampshire (25793) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1093027443
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHERBERT S M IPCredential: MD
Location Address289 COUNTY RDWindsor, VT 05089-9000
Mailing Address289 County RdWindsor, VT 05089-9000 · (802) 674-6711 · Fax (802) 674-7349
Fax(802) 674-7349
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 13, 2010
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1093027443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NH · 25793✔ Licensed in VT · 042.0012863
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
289 COUNTY RD, Windsor, VT 05089

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000 · Fax (603) 640-1228

Other Identifiers 1

Medicaid1023413VT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herbert S M Ip Md 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 ID7214155233
PECOS Enrollment IDI20140904000197, I20240626003389
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 Reassignments

3

Medicare enrollment records show Herbert Ip reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
289 COUNTY RD
Windsor, VT 05089
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1558358747 (Vermont), NPI 1285621326 (Vermont)
  • 104 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
7 DUNNING ST
Claremont, NH 03743
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services83 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
142 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services29 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05089 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$70.28 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.

Physician Assistant
289 COUNTY RD
WINDSOR, VT 05089
Pharmacist
289 COUNTY RD
WINDSOR, VT 05089
Physician Assistant (Medical)
289 COUNTY RD
WINDSOR, VT 05089
Nurse Practitioner
289 COUNTY RD
WINDSOR, VT 05089
Clinical Nurse Specialist (Gerontology)
289 COUNTY RD
WINDSOR, VT 05089
Nurse Anesthetist, Certified Registered
289 COUNTY RD
WINDSOR, VT 05089
Hospitalist
289 COUNTY RD
WINDSOR, VT 05089
Pediatrics
289 COUNTY RD
WINDSOR, VT 05089

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 Herbert Ip's NPI number?

The NPI number for Herbert Ip is 1093027443. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Herbert Ip located?

Herbert Ip practices at 289 County Rd, Windsor, VT 05089. The listed phone number is (802) 674-6711.

What is Herbert Ip's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Herbert Ip enrolled in Medicare?

Yes. Herbert Ip 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.

Which organizations bill Medicare for Herbert Ip's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Ip reassigns Medicare benefits to 3 organizations: Windsor Hospital Corporation (Windsor, VT), Dartmouth-Hitchcock Clinic (Claremont, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). Each 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 Herbert Ip's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herbert Ip accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Taro Health list Herbert Ip 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 Herbert Ip affiliated with any hospitals?

According to CMS data, Herbert Ip is affiliated with Mary Hitchcock Memorial Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Herbert Ip was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.