DR. KIPP RYAN PIETRANTONIO PH.D.
NPI 1558831933
Psychologist in Dallas, TX

Active since November 28, 2018PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
6363 FOREST PARK RD, 7TH FLOOR, STE. 749, DALLAS, TX 75390(214) 645-8500(214) 648-3775 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kipp Ryan Pietrantonio Ph.d. NPPES

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

DR. KIPP RYAN PIETRANTONIO PH.D. (NPI 1558831933) is an individual psychologist in Dallas, Texas, licensed in Texas (38066) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558831933
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIPP RYAN PIETRANTONIOCredential: PH.D.
Location Address6363 FOREST PARK RD, 7TH FLOOR, STE. 749Dallas, TX 75390-9121
Mailing Address6363 Forest Park Rd 7th Floor Ste 749Dallas, TX 75390-9121 · (214) 645-8500 · Fax (214) 648-3775
Fax(214) 648-3775
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 28, 2018
✔ NPI 1558831933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 38066
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6363 FOREST PARK RD, 7TH FLOOR, Dallas, TX 75390

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kipp Ryan Pietrantonio Ph.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 ID1850637448
PECOS Enrollment IDI20190118001992
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 Reassignment

Medicare enrollment records show Kipp Pietrantonio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
37 services14 patients

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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 Kipp Pietrantonio's NPI number?

The NPI number for Kipp Pietrantonio is 1558831933. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Kipp Pietrantonio located?

Kipp Pietrantonio practices at 6363 Forest Park Rd, 7th Floor Ste. 749, Dallas, TX 75390. The listed phone number is (214) 645-8500.

What is Kipp Pietrantonio's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kipp Pietrantonio enrolled in Medicare?

Yes. Kipp Pietrantonio 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.

Which organization bills Medicare for Kipp Pietrantonio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kipp Pietrantonio reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). The 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 Kipp Pietrantonio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kipp Pietrantonio accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kipp Pietrantonio 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.

When was this NPI record last updated?

The NPPES record for Kipp Pietrantonio was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.