WILLIAM J LIPHAM M.D.
NPI 1528053717
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Austin, TX

Q: What is William Lipham's NPI number?

The NPI number for William Lipham is 1528053717. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is William Lipham's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for William Lipham was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment

85.24/100

CMS Quality Rating

5717 BALCONES DR, AUSTIN, TX 78731(512) 327-7000(512) 314-1613 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About William J Lipham M.d. NPPES

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

WILLIAM J LIPHAM M.D. (NPI 1528053717) is an individual ophthalmic plastic and reconstructive surgery provider in Austin, Texas, licensed in Texas (41668) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1993).

NPPES Registry Identity

NPI1528053717

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameWILLIAM J LIPHAMCredential: M.D.

Location Address5717 BALCONES DRAustin, TX 78731-4203

Mailing Address11305 Taylor Draper Ln # 1aAustin, TX 78759-3929 · (612) 701-2888 · Fax (952) 567-6176

Phone(512) 327-7000

Fax(512) 314-1613

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1993

Enumeration DateSeptember 14, 2005

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1528053717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in TX · 41668

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License 41668 (TX)

5717 BALCONES DR, Austin, TX 78731

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Other Identifiers 3

Medicaid1528053717TX

Medicaid34027700WI

Medicaid668057700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

William J Lipham 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 ID5496740532

PECOS Enrollment IDI20041013000403

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 13

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, incobotulinumtoxin a, 1 unit J0588

Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.

2,050 services11 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

136 services136 patients

Exam of visual field with limited testing 92081

An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.

96 services94 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.

91 services91 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.

84 services80 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.

63 services63 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.

60 services55 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

44 services44 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

36 services30 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

34 services11 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

34 services29 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

28 services25 patients

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11440

This procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

85.24/100

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

Scored as part of a group practice

Quality

97.91

Promoting Interoperability

100

Improvement Activities

Cost

52.88

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Other Providers at the Same Location NPPES 15

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

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