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TODD M LIPSCHULTZ MD
NPI 1124197942
Orthopaedic Surgery in Woodbury, NJ

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
1007 MANTUA PIKE, WOODBURY, NJ 08096(856) 853-8004(856) 853-8022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Todd M Lipschultz Md NPPES

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

TODD M LIPSCHULTZ MD (NPI 1124197942) is an individual orthopaedic surgery provider in Woodbury, New Jersey, licensed in New Jersey (MA054868) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1984).

NPPES Registry Identity

NPI1124197942
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTODD M LIPSCHULTZCredential: MD
Location Address1007 MANTUA PIKEWoodbury, NJ 08096
Mailing Address1007 Mantua PikeWoodbury, NJ 08096 · (856) 853-8004 · Fax (856) 853-8022
Phone(856) 853-8004
Fax(856) 853-8022
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1984
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124197942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · MA054868
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.
1007 MANTUA PIKE, Woodbury, NJ 08096
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Other Identifiers 12

Other0432925000Ibs
Other0432925000Amerihealth Hmo
Other2577532United Healthcare
Other2K9209Healthnet
Other326449Coventry
Other0432925000Keystone
Medicare UPINE55082
Medicare ID-Type Unspecified610073NJ
OtherGLS061Oxford
Other1271200Cigna
Other0432925000Ibs Ppo
Other0432925000Amerihealth

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Todd M Lipschultz 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 ID4981642642
PECOS Enrollment IDI20050728000654
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 Todd Lipschultz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Orthopaedic Of South Jersey
Same address
Orthopaedic Surgery
1007 MANTUA PIKE
Woodbury, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1750426151 (856) 853-8004

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 6

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 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.
131 services59 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.
75 services29 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
51 services14 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.
20 services20 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.
19 services12 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.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08096 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%279 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,322 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%180 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%425 patients4/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
92%51 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,653 patients5/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%1,333 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,128 patients
Patients tobacco: 100% · 1,128 patients
98%83 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%1,653 patients3/55-star benchmark: 100%
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 9

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

GREGORY S MASLOW MD
Orthopaedic Surgery
1007 MANTUA PIKE, SECOND FLOOR
WOODBURY, NJ 08096
Gloucester County (856) 845-4601
MRS. KELLY A. FROIO P.A.
Orthopaedic Surgery
1007 MANTUA PIKE
WEST DEPTFORD, NJ 08096
Gloucester County (856) 853-8004
MICHAEL JOHN DONOGHUE PT ATC
Physical Therapist
1007 MANTUA PIKE
WOODBURY, NJ 08096
Gloucester County (856) 845-1253
TEAM REHAB P.A
Physical Therapist
1007 MANTUA PIKE
WOODBURY, NJ 08096
Gloucester County (856) 845-1253
ZOE ALEXIS SCHWEIBINZ
Physical Therapy Assistant
1007 MANTUA PIKE
WEST DEPTFORD, NJ 08096
Gloucester County (856) 845-1253
GREGORY S. MASLOW, M.D., P.A.
Durable Medical Equipment & Medical Supplies
1007 MANTUA PIKE
WOODBURY, NJ 08096
Gloucester County (856) 845-4601
PREMIER ORTHOPAEDIC OF SOUTH JERSEY
Orthopaedic Surgery
1007 MANTUA PIKE
WOODBURY, NJ 08096
Gloucester County (856) 853-8004
ADVANCED ANESTHESIA AND PAIN
Anesthesiology (Pain Medicine)
1007 MANTUA PIKE
WOODBURY, NJ 08096
Gloucester County (856) 697-1158

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 Todd Lipschultz's NPI number?

The NPI number for Todd Lipschultz is 1124197942. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Todd Lipschultz located?

Todd Lipschultz practices at 1007 Mantua Pike, Woodbury, NJ 08096. The listed phone number is (856) 853-8004.

What is Todd Lipschultz's specialty?

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

Is Todd Lipschultz enrolled in Medicare?

Yes. Todd Lipschultz 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 organization bills Medicare for Todd Lipschultz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Lipschultz reassigns Medicare benefits to Premier Orthopaedic Of South Jersey (Woodbury, NJ). 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 Todd Lipschultz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Lipschultz accept?

Health plans from Oscar Health list Todd Lipschultz 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 Todd Lipschultz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.