DR. TRACY JON TIPTON M.D.
NPI 1326487588
Urology in Charleston, SC

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
125 DOUGHTY ST STE 300, CHARLESTON, SC 29403(843) 884-8045(843) 881-5081 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2021, Oct 30, 2020, Aug 8, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Tracy Jon Tipton M.d. NPPES

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

DR. TRACY JON TIPTON M.D. (NPI 1326487588) is an individual urology provider in Charleston, South Carolina, licensed in South Carolina (36003) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1326487588
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. TRACY JON TIPTONCredential: M.D.
Location Address125 DOUGHTY ST STE 300Charleston, SC 29403
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Fax(843) 881-5081
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2013
Enumeration DateJune 21, 2013
Last NPPES UpdateJune 28, 20214 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1326487588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in SC · 36003
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
125 DOUGHTY ST STE 300, Charleston, SC 29403

Other Identifiers 2

Other9223SC · Group Medicare Ptan
Medicaid360031SC

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. Tracy Jon 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 ID8527357300
PECOS Enrollment IDI20180714000012
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 34

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
1,639 services895 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
1,607 services848 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.
339 services273 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
189 services189 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
152 services130 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
131 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29403 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers21 claims3,840 services$6.16 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims30 services$8.76 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims350 services$0.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tracy Tipton's NPI number?

The NPI number for Tracy Tipton is 1326487588. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Tracy Tipton located?

Tracy Tipton practices at 125 Doughty St Ste 300, Charleston, SC 29403. The listed phone number is (843) 884-8045.

What is Tracy Tipton's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tracy Tipton enrolled in Medicare?

Yes. Tracy 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 Tracy Tipton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Tracy 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 Tracy Tipton affiliated with any hospitals?

According to CMS data, Tracy Tipton is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Tracy Tipton was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.