DR. KAY NICOLE TIPTON DO
NPI 1124693494
Emergency Medicine in Lumberton, NC

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment
300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000(910) 671-5392 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kay Nicole Tipton Do NPPES

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

DR. KAY NICOLE TIPTON DO (NPI 1124693494) is an individual emergency medicine provider in Lumberton, North Carolina, licensed in North Carolina (2023-03333) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1124693494
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KAY NICOLE TIPTONCredential: DO
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698 · Fax (910) 671-5392
Fax(910) 671-5392
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2021
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1124693494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 2023-03333
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
300 W 27TH ST, Lumberton, NC 28358

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. Kay Nicole Tipton Do 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 ID547663494
PECOS Enrollment IDI20240725000071
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
82 services82 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
43 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services23 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358

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 Kay Tipton's NPI number?

The NPI number for Kay Tipton is 1124693494. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Kay Tipton located?

Kay Tipton practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5000.

What is Kay Tipton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kay Tipton enrolled in Medicare?

Yes. Kay Tipton 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 Kay Tipton accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Kay 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 Kay Tipton affiliated with any hospitals?

According to CMS data, Kay Tipton is affiliated with Hillcrest Medical Center, Hillcrest Hospital Claremore and Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Kay Tipton was last updated on May 20, 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.