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DR. LORI ANN SHIPSKY M.D.
NPI 1093953580
Pediatrics in Chinchilla, PA

Active since January 22, 2009PECOS Enrolled
110 LAYTON ROAD, CHINCHILLA, PA 18410(570) 586-8879(570) 586-3953 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Jan 13, 2026, Feb 26, 2025 and 2 more (5 updates tracked since 2018).

About Dr. Lori Ann Shipsky M.d. NPPES

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

DR. LORI ANN SHIPSKY M.D. (NPI 1093953580) is an individual pediatrics provider in Chinchilla, Pennsylvania, licensed in New Jersey (25MA08403100) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093953580
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LORI ANN SHIPSKYCredential: M.D.
Location Address110 LAYTON ROADChinchilla, PA 18410-0399
Mailing AddressPo Box 399Chinchilla, PA 18410-0399 · (570) 586-8879 · Fax (570) 586-3953
Phone(570) 586-8879
Fax(570) 586-3953
Sole ProprietorNo
Enumeration DateJanuary 22, 2009
Last NPPES UpdateApril 7, 20265 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1093953580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA08403100✔ Licensed in PA · MD433157
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
110 LAYTON ROAD, Chinchilla, PA 18410
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Secondary Practice Locations 2

Location 11000 E Mountain BlvdWilkes Barre, PA 18711-0027 · Phone (570) 808-7333 · Fax (570) 808-7325
Location 2920 Viewmont DrDickson City, PA 18519-1664 · Phone (570) 346-1464 · Fax (570) 346-7450

Other Identifiers 1

Medicaid1026623490001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lori Ann Shipsky M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Lori Shipsky reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.2 mi
Family Medicine
1020 NORTHERN BLVD
Clarks Summit, PA 18411
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1578512810 (570) 587-2290
Guthrie Medical Group, P.C,
16 mi
Family Medicine
5950 SR 6 STE 101
Tunkhannock, PA 18657
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1164471652 (570) 836-4294
Pinnacle Health Medical Services
81 mi
Family Medicine
120 S TAN ALY STE 1
Fredericksburg, PA 17026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1124675723 (717) 865-6644
Barnabas Health Medical Group PC
96 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18410 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Lori Shipsky's NPI number?

The NPI number for Lori Shipsky is 1093953580. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Where is Lori Shipsky located?

Lori Shipsky practices at 110 Layton Road, Chinchilla, PA 18410. The listed phone number is (570) 586-8879.

What is Lori Shipsky's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lori Shipsky enrolled in Medicare?

Yes. Lori Shipsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lori Shipsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Shipsky reassigns Medicare benefits to 4 organizations: Geisinger Clinic (Clarks Summit, PA), Guthrie Medical Group, P.C, (Tunkhannock, PA), Pinnacle Health Medical Services (Fredericksburg, PA) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Lori Shipsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Shipsky accept?

Health plans from AmeriHealth Caritas Next and Oscar Health list Lori Shipsky 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 Lori Shipsky was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.