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KYLE MILTON TIPTON M.D.
NPI 1245253061
Internal Medicine in El Dorado, KS

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
700 W CENTRAL AVE, SUITE 201, EL DORADO, KS 67042(316) 321-2100(316) 321-0270 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Milton Tipton M.d. NPPES

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

KYLE MILTON TIPTON M.D. (NPI 1245253061) is an individual internal medicine provider in El Dorado, Kansas, licensed in Kansas (04-23819) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Susan B Allen Memorial Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1990).

NPPES Registry Identity

NPI1245253061
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKYLE MILTON TIPTONCredential: M.D.
Location Address700 W CENTRAL AVE, SUITE 201El Dorado, KS 67042-2184
Mailing Address700 W Central Ave, Suite 201El Dorado, KS 67042-2184 · (316) 321-2100 · Fax (316) 321-0270
Phone(316) 321-2100
Fax(316) 321-0270
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1990
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245253061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-23819
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.
700 W CENTRAL AVE, El Dorado, KS 67042
Open in Google Maps ↗

Other Identifiers 3

Other041325KS · Bc/bs
Medicare ID-Type Unspecified041325KS
Medicare UPINF59069KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Kyle Milton Tipton M.d. 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 ID7214977016
PECOS Enrollment IDI20050511000644
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 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.

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.
766 services340 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
251 services251 patients
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.
199 services141 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.
173 services134 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
121 services120 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Susan B Allen Memorial Hospital

Acute Care Hospitals · El Dorado, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170017
Location720 W Central StEl Dorado, KS 67042 · Butler County
Emergency services Birthing friendly

Greenwood County Hospital

Critical Access Hospitals · Eureka, KS
OwnershipGovernment - Local
CMS Certification Number171339
Location100 W 16th StreetEureka, KS 67045 · Greenwood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67042 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.79
Promoting Interoperability100
Improvement Activities0
Cost61.54

Reported Quality Measures

Colorectal Cancer Screening
64%566 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
72%476 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%152 patients4/55-star benchmark: 91%
e-Prescribing
97%2,163 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%503 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
57%808 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 919 patients
Patients screened: 87% · 919 patients
91%77 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%114 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers94 claims135 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers30 claims33 services$0.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$43.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers13 claims13 services$15.24 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$9.81 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers20 claims70 services$1.83 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.

RUSSELL R MCCAIG P.A.
Physician Assistant
700 W CENTRAL AVE, STE 205
EL DORADO, KS 67042
Butler County (316) 321-2010
DR. CHRISTINA ELIZABETH GONZALEZ D.O.
Family Medicine
700 W CENTRAL AVE, SUITE 200
EL DORADO, KS 67042
Butler County (316) 320-9191
DR. DENISE LYNN SCHMIDT DPT, OCS, ATC
Physical Therapist
700 W CENTRAL AVE, SUITE 400
EL DORADO, KS 67042
Butler County (316) 322-4580
CRYSTAL D FAUDERE D.O.
Family Medicine
700 W CENTRAL AVE, SUITE 205
EL DORADO, KS 67042
Butler County (316) 321-2010
JWM MEDICAL INC,.
Prosthetic/Orthotic Supplier
700 W CENTRAL AVE
EL DORADO, KS 67042
Butler County (316) 321-0700
WOMENS HEALTH BUTLER COUNTY P.A.
Specialist
700 W CENTRAL AVE, SUITE 412
EL DORADO, KS 67042
Butler County (316) 320-0501
MS. JUDITH HAFFNER A.R.N.P.
Nurse Practitioner
700 W CENTRAL AVE, SUITE 111
EL DORADO, KS 67042
Butler County (316) 321-5630
CATHY N COOPER M.D.
Family Medicine
700 W CENTRAL AVE, STE 205
EL DORADO, KS 67042
Butler County (316) 321-2010

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 Kyle Tipton's NPI number?

The NPI number for Kyle Tipton is 1245253061. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kyle Tipton located?

Kyle Tipton practices at 700 W Central Ave Suite 201, El Dorado, KS 67042. The listed phone number is (316) 321-2100.

What is Kyle Tipton's specialty?

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

Is Kyle Tipton enrolled in Medicare?

Yes. Kyle 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 Kyle Tipton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Kyle 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 Kyle Tipton affiliated with any hospitals?

According to CMS data, Kyle Tipton is affiliated with Susan B Allen Memorial Hospital and Greenwood County Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Tipton 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.