AUSTIN MICHAEL TIPOLD MD
NPI 1629658828
Emergency Medicine in Mcminnville, TN

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
1559 SPARTA ST, MCMINNVILLE, TN 37110(931) 815-4000 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 18, 2024, Apr 14, 2021 (2 updates tracked since 2021).

About Austin Michael Tipold Md NPPES

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

AUSTIN MICHAEL TIPOLD MD (NPI 1629658828) is an individual emergency medicine provider in Mcminnville, Tennessee, licensed in Tennessee (68114) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Eastern Virginia Medical School (2021).

NPPES Registry Identity

NPI1629658828
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameAUSTIN MICHAEL TIPOLDCredential: MD
Location Address1559 SPARTA STMcminnville, TN 37110-1316
Mailing AddressPo Box 337Lafayette, TN 37083-0337
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1629658828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 68114
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1559 SPARTA ST, Mcminnville, TN 37110

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

Austin Michael Tipold 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 ID42664062
PECOS Enrollment IDI20250819004242
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 Austin Tipold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
120 HEALTHPLEX WAY
Apex, NC 27502
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
124 services124 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
95 services85 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37110 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Physician Assistant
1559 SPARTA ST
MCMINNVILLE, TN 37110
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Emergency Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Nurse Anesthetist, Certified Registered
1559 SPARTA ST
MCMINNVILLE, TN 37110
Emergency Medicine
1559 SPARTA ST
MC MINNVILLE, TN 37110
Emergency Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110

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 Austin Tipold's NPI number?

The NPI number for Austin Tipold is 1629658828. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Austin Tipold located?

Austin Tipold practices at 1559 Sparta St, Mcminnville, TN 37110. The listed phone number is (931) 815-4000.

What is Austin Tipold's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Austin Tipold enrolled in Medicare?

Yes. Austin Tipold 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 Austin Tipold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Tipold reassigns Medicare benefits to Wake Emergency Physicians PA (Apex, NC). 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 Austin Tipold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Austin Tipold accept?

Health plans from Oscar Health and Oscar Insurance Company list Austin Tipold 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 Austin Tipold affiliated with any hospitals?

According to CMS data, Austin Tipold is affiliated with Unc Health Wayne.

When was this NPI record last updated?

The NPPES record for Austin Tipold was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.