JAMES M KIPNIS MD
NPI 1386615532
Orthopaedic Surgery in Great Neck, NY

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1000 NORTHERN BLVD, SUITE 110, GREAT NECK, NY 11021(516) 482-0302(516) 482-0158 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James M Kipnis Md NPPES

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

JAMES M KIPNIS MD (NPI 1386615532) is an individual orthopaedic surgery provider in Great Neck, New York, licensed in New York (1718701) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of University Of California, San Diego School Of Medicine (1986).

NPPES Registry Identity

NPI1386615532
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES M KIPNISCredential: MD
Location Address1000 NORTHERN BLVD, SUITE 110Great Neck, NY 11021-5312
Mailing Address1000 Northern Blvd, Suite 110Great Neck, NY 11021-5312 · (516) 482-0302 · Fax (516) 482-0158
Fax(516) 482-0158
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1986
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1386615532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NY · 1718701
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1000 NORTHERN BLVD, Great Neck, NY 11021

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

James M Kipnis Md 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 ID7214908110
PECOS Enrollment IDI20040804000537
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 8

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 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.
343 services249 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.
285 services224 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
207 services160 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.
123 services123 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326
Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.
70 services48 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
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

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier22 claims24 services$114.96 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.

Internal Medicine
1000 NORTHERN BLVD, SUITE 175
GREAT NECK, NY 11021
Plastic Surgery
1000 NORTHERN BLVD, SUITE 370
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine
1000 NORTHERN BLVD, SUITE 230
GREAT NECK, NY 11021
Audiologist
1000 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine
1000 NORTHERN BLVD, SUITE 230
GREAT NECK, NY 11021

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 James Kipnis's NPI number?

The NPI number for James Kipnis is 1386615532. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is James Kipnis located?

James Kipnis practices at 1000 Northern Blvd Suite 110, Great Neck, NY 11021. The listed phone number is (516) 482-0302.

What is James Kipnis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Kipnis enrolled in Medicare?

Yes. James Kipnis 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.

Is James Kipnis affiliated with any hospitals?

According to CMS data, James Kipnis is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for James Kipnis was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.