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MEGAN ELAINE SIPPEY M.D.
NPI 1639436835
Surgery in Ashland, OH

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
2212 MIFFLIN AVE STE 220, ASHLAND, OH 44805(419) 281-0451(419) 207-2641 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2020, Jul 26, 2018 (2 updates tracked since 2018).

About Megan Elaine Sippey M.d. NPPES

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

MEGAN ELAINE SIPPEY M.D. (NPI 1639436835) is an individual surgery provider in Ashland, Ohio, licensed in Ohio (35.133366) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with University Hospitals Samaritan Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1639436835
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMEGAN ELAINE SIPPEYCredential: M.D.
Location Address2212 MIFFLIN AVE STE 220Ashland, OH 44805-8846
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-5069 · Fax (252) 744-3156
Phone(419) 281-0451
Fax(419) 207-2641
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1639436835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.133366
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2212 MIFFLIN AVE STE 220, Ashland, OH 44805
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Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834 · Phone (252) 744-5069 · Fax (252) 744-3156

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Megan Elaine Sippey 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 ID1850690710
PECOS Enrollment IDI20180927001586
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 10

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.

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.
59 services59 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.
37 services30 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.
34 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services26 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

University Hospitals Samaritan Medical Center

Acute Care Hospitals · Ashland, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360002
Location1025 Center StAshland, OH 44805 · Ashland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44805 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

COMPREHENSIVE PAIN CARE SPECIALISTS, LLC
Pain Medicine (Interventional Pain Medicine)
2212 MIFFLIN AVE STE 220
ASHLAND, OH 44805
Ashland County (440) 234-8833

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 Megan Sippey's NPI number?

The NPI number for Megan Sippey is 1639436835. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Megan Sippey located?

Megan Sippey practices at 2212 Mifflin Ave Ste 220, Ashland, OH 44805. The listed phone number is (419) 281-0451.

What is Megan Sippey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Megan Sippey enrolled in Medicare?

Yes. Megan Sippey 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 Megan Sippey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Megan Sippey 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 Megan Sippey affiliated with any hospitals?

According to CMS data, Megan Sippey is affiliated with University Hospitals Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Sippey was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.