Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY NICOLE LILLIAN LIPSCOMB PA-C
NPI 1265056170
Physician Assistant in Santa Maria, CA

Q: What is Mary Lipscomb's NPI number?

The NPI number for Mary Lipscomb is 1265056170. It was assigned to this individual provider in the NPPES registry on June 5, 2020. The provider is also known as Mary Diemert PA.

Q: What is Mary Lipscomb's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lipscomb was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

82.49/100

CMS Quality Rating

2271 S DEPOT ST, SANTA MARIA, CA 93455(805) 739-3805(805) 739-3806 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Jan 16, 2026, Nov 8, 2023 and 4 more (7 updates tracked since 2020).

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About Mary Nicole Lillian Lipscomb Pa-c NPPES

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

MARY NICOLE LILLIAN LIPSCOMB PA-C (NPI 1265056170) is an individual physician assistant in Santa Maria, California, licensed in California (60009) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265056170

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY NICOLE LILLIAN LIPSCOMBCredential: PA-C

Location Address2271 S DEPOT STSanta Maria, CA 93455-1216

Mailing Address2271 S Depot StSanta Maria, CA 93455-1216 · (805) 739-3805 · Fax (805) 739-3806

Phone(805) 739-3805

Fax(805) 739-3806

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 5, 2020

Last NPPES UpdateJuly 1, 20267 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1265056170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 60009

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2271 S DEPOT ST, Santa Maria, CA 93455

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Other Names 1

Former Name (1)Mary Diemert Pa

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

Mary Nicole Lillian Lipscomb Pa-c 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 ID2860882891

PECOS Enrollment IDI20211207001474

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 11

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

147 services18 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.

78 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 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.

36 services32 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

23 services21 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93455 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

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.

82.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.46

Promoting Interoperability

Improvement Activities

Cost

Other Providers at the Same Location NPPES 6

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

PACIFIC CENTRAL COAST HEALTH CENTERS

Clinic/Center (Community Health)