LAUREN MICHELLE LIPSHUTZ
NPI 1366006843
Pediatrics in Wilmington, DE
NPI Status: Active since April 30, 2019
Contact Information
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-5874
Fax: (302) 651-5954
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About LAUREN LIPSHUTZ
This page provides the complete NPI Profile along with additional information for Lauren Lipshutz, a pediatrician established in Wilmington, Delaware with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1366006843 assigned on April 2019. The practitioner's primary taxonomy code is 208000000X with license number MT218068 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1366006843
- Provider Name
- LAUREN MICHELLE LIPSHUTZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1600 ROCKLAND RD STE 3D16 WILMINGTON, DE 19803
- Location Phone
- (302) 651-5874
- Location Fax
- (302) 651-5954
- Mailing Address
- 1600 ROCKLAND RD STE 3D16 WILMINGTON, DE 19803
- Mailing Phone
- (302) 651-5874
- Mailing Fax
- (302) 651-5954
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-30-2019
- Last Update Date
- 06-18-2019
- Code Navigator
A pediatrician like Lauren Lipshutz is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MT218068
- License State
- PA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | C7-0007057 (DE) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Premier Platinum 0 - PPO
- my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Silver 7000 - PPO
- my Blue Access PPO Standard Bronze 7500 - PPO
- my Blue Access PPO Standard Gold 1500 - PPO
- my Blue Access PPO Standard Platinum 0 - PPO
- my Blue Access PPO Standard Silver 5000 - PPO
- my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lauren Lipshutz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19803 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for LAUREN MICHELLE LIPSHUTZ
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 0 | 0 | 6 | 8 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 0 | 0 | 12 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 0 + 0 + 1 + 2 + 8 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1366006843 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JESSICA L PAULDING MD
Pediatrics
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
HAYLEY GOLDNER
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
REBECCA WELCHER DO
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
PAIGE KUBE DO
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
CLIFFORD HEGEDUS MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
AGNES MEGUMI TSUDA MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
ERIN MOROZE MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
RUTAA SATISH DESAI
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
HANNAH MARTIN MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
LAURA KATHLEEN STANFEL
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
MICHELLE ANNE KONKOLY MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
DR. JENNA HAMILL O'LEARY
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
FAITH DAYEONG LEE
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
MERCY O TOMA
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
DR. LAUREN ELIZABETH JONAS MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
KIMBERLY HOOVER
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
DR. SHELBY JENNIFER CADET DO
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
GABRIEL ALEJANDRO CRUCIANI
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
AYUSHI PATHAK MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
KATIE MARIE BEAN MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE
ZIP 19803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366006843, enumerated as an "individual" on April 30, 2019.
The provider is located at 1600 ROCKLAND RD STE 3D16 WILMINGTON, DE 19803 and the phone number is (302) 651-5874.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield Delaware. Please consult your insurance carrier or call the provider to verify.
