DR. KIPP ALLEN VANCAMP DO
NPI 1164460655
Radiology - Diagnostic Radiology in Woodstock, GA

Active since June 04, 2006PECOS Enrolled
81.07/100
CMS Quality Rating
604 LOVEJOY LN STE 100, WOODSTOCK, GA 30189(770) 268-4336(470) 251-6063 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Mar 12, 2025, May 23, 2023 and 4 more (7 updates tracked since 2018).

About Dr. Kipp Allen Vancamp Do NPPES

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

DR. KIPP ALLEN VANCAMP DO (NPI 1164460655) is an individual diagnostic radiology provider in Woodstock, Georgia, licensed in Georgia (103575) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and maintains a secondary practice location in Shawnee.

NPPES Registry Identity

NPI1164460655
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KIPP ALLEN VANCAMPCredential: DO
Location Address604 LOVEJOY LN STE 100Woodstock, GA 30189-3634
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116 · Fax (770) 955-4278
Fax(470) 251-6063
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 4, 2006
Last NPPES UpdateMarch 26, 20257 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1164460655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 103575✔ Licensed in KS · 0525311
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
604 LOVEJOY LN STE 100, Woodstock, GA 30189

Secondary Practice Location 1

Location 122740 Midland DrShawnee, KS 66226-3553 · Phone (913) 745-5300 · Fax (913) 745-5530

Other Identifiers 8

Other106163KS · Bcbs Of Ks
Other104991KS · Bcbs Provider Number
OtherP00440177KS · Railroad Medicare Group Dg5299
Medicaid100234960FKS
Other18484065MO · Bcbs Of Kansas City
OtherP00477479KS · Rr Medicare
Medicaid1002234960HKS
OtherKA1066001KS · Ks Medicare

Accepted 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. Kipp Allen Vancamp Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193764900
PECOS Enrollment IDI20250811003300, I20251106002987
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

6

Medicare enrollment records show Kipp Vancamp reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3333 RIVERWOOD PKWY SE STE 250
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Kansas enrollment
  • 57 clinicians in this Medicare group
Internal Medicine
2301 HOLMES ST
Kansas City, MO 64108
  • Reassigned Medicare billing, Missouri enrollment
  • 518 clinicians in this Medicare group
Multi-Specialty
3800 10TH ST
Great Bend, KS 67530
  • Reassigned Medicare billing, Kansas enrollment
  • 218 clinicians in this Medicare group
Diagnostic Radiology
11600 W 2ND PL
Lakewood, CO 80228
  • Reassigned Medicare billing, Kansas enrollment
  • 32 clinicians in this Medicare group
Critical Access
216 14TH AVE SW
Sidney, MT 59270
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1568532802 (Montana)
  • 211 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 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.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
102 services71 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
37 services37 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
36 services36 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
32 services24 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.
30 services23 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

81.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.99
Improvement Activities40
Cost46.09

Other Providers at the Same Location NPPES

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

Family Medicine
604 LOVEJOY LN STE 100
WOODSTOCK, GA 30189

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 Kipp Vancamp's NPI number?

The NPI number for Kipp Vancamp is 1164460655. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Kipp Vancamp located?

Kipp Vancamp practices at 604 Lovejoy Ln Ste 100, Woodstock, GA 30189. The listed phone number is (770) 268-4336.

What is Kipp Vancamp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kipp Vancamp enrolled in Medicare?

Yes. Kipp Vancamp is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kipp Vancamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kipp Vancamp reassigns Medicare benefits to 6 organizations: Aylo Health, LLC (Atlanta, GA), Theoria Medical (Novi, MI), University Health Physicians (Kansas City, MO), Hays Medical Center, Inc (Great Bend, KS), Colorado Imaging Associates P C (Lakewood, CO) and 1 more organization, listed in the Medicare section above. 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 Kipp Vancamp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kipp Vancamp accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Montana list Kipp Vancamp 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 Kipp Vancamp affiliated with any hospitals?

According to CMS data, Kipp Vancamp is affiliated with Truman Medical Center Hospital Hill, University Health Lakewood Medical Center and Sidney Health Center.

When was this NPI record last updated?

The NPPES record for Kipp Vancamp was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.