DR. JOHN L KIPP M.D.
NPI 1366427601
Preventive Medicine - Occupational Medicine in Saint Paul, MN

Active since December 09, 2005PECOS Enrolled
1661 SAINT ANTHONY AVE, SAINT PAUL, MN 55104(651) 968-5300(651) 646-0205 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John L Kipp M.d. NPPES

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

DR. JOHN L KIPP M.D. (NPI 1366427601) is an individual occupational medicine provider in Saint Paul, Minnesota, licensed in Minnesota (25028) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366427601
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. JOHN L KIPPCredential: M.D.
Location Address1661 SAINT ANTHONY AVESaint Paul, MN 55104-3733
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5042 · Fax (651) 968-5904
Fax(651) 646-0205
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateJuly 2, 2015
✔ NPI 1366427601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in MN · 25028
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
1661 SAINT ANTHONY AVE, Saint Paul, MN 55104

Other Identifiers 1

Medicare UPINA94449

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John L Kipp M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show John Kipp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Medicine
1661 SAINT ANTHONY AVE
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 197 clinicians in this Medicare group
Urgent Care
5080 SPECTRUM DR STE 1200W
Addison, TX 75001
  • Reassigned Medicare billing, Minnesota enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Physical Therapist (Orthopedic)
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Preventive Medicine (Occupational Medicine)
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Physical Therapist
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Physical Therapist
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Clinic/Center (Occupational Medicine)
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Physical Therapist (Orthopedic)
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Emergency Medicine
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
Physical Therapist (Orthopedic)
1661 SAINT ANTHONY AVE
SAINT PAUL, MN 55104

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 John Kipp's NPI number?

The NPI number for John Kipp is 1366427601. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is John Kipp located?

John Kipp practices at 1661 Saint Anthony Ave, Saint Paul, MN 55104. The listed phone number is (651) 968-5300.

What is John Kipp's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is John Kipp enrolled in Medicare?

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

Which organizations bill Medicare for John Kipp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kipp reassigns Medicare benefits to 2 organizations: Summit Orthopedics, Ltd. (Saint Paul, MN) and American Current Care Of Minnesota PC (Addison, TX). 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 John Kipp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Kipp was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.