KYLE THOMAS LIPSCOMB PA
NPI 1619507027
Physician Assistant in Statesville, NC

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
633 BROOKDALE DR STE 300, STATESVILLE, NC 28677(704) 978-4025 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2023, Nov 24, 2020, Jan 24, 2020 (3 updates tracked since 2020).

About Kyle Thomas Lipscomb Pa NPPES

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

KYLE THOMAS LIPSCOMB PA (NPI 1619507027) is an individual physician assistant in Statesville, North Carolina, licensed in North Carolina (0010-10456) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619507027
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE THOMAS LIPSCOMBCredential: PA
Location Address633 BROOKDALE DR STE 300Statesville, NC 28677-3471
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2020
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1619507027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-10456
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

633 BROOKDALE DR STE 300, Statesville, NC 28677

Accepted 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

Kyle Thomas Lipscomb Pa 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 ID1557773348
PECOS Enrollment IDI20201221000846
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 7

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
116 services22 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.
113 services78 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.
45 services27 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
37 services31 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.
24 services24 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
20 services14 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
633 BROOKDALE DR STE 300
STATESVILLE, NC 28677
Nurse Practitioner (Family)
633 BROOKDALE DR STE 300
STATESVILLE, NC 28677
Orthopaedic Surgery
633 BROOKDALE DR STE 300
STATESVILLE, NC 28677
Physician Assistant
633 BROOKDALE DR STE 300
STATESVILLE, NC 28677
Durable Medical Equipment & Medical Supplies
633 BROOKDALE DR STE 300
STATESVILLE, NC 28677

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 Kyle Lipscomb's NPI number?

The NPI number for Kyle Lipscomb is 1619507027. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Kyle Lipscomb located?

Kyle Lipscomb practices at 633 Brookdale Dr Ste 300, Statesville, NC 28677. The listed phone number is (704) 978-4025.

What is Kyle Lipscomb's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Lipscomb enrolled in Medicare?

Yes. Kyle Lipscomb 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.

What insurance does Kyle Lipscomb accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kyle Lipscomb 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.

Is Kyle Lipscomb affiliated with any hospitals?

According to CMS data, Kyle Lipscomb is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kyle Lipscomb was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.