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DR. SAMUEL DUANE LIPTEN M.D.
NPI 1639528342
Internal Medicine in Philadelphia, PA

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-7817(215) 829-7129 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2019, Mar 11, 2019 (2 updates tracked since 2019).

About Dr. Samuel Duane Lipten M.d. NPPES

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

DR. SAMUEL DUANE LIPTEN M.D. (NPI 1639528342) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481516) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of University Of Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1639528342
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMUEL DUANE LIPTENCredential: M.D.
Location Address800 SPRUCE STPhiladelphia, PA 19107-6130
Mailing Address800 Spruce StPhiladelphia, PA 19107-6130 · (215) 829-7817 · Fax (215) 829-7129
Phone(215) 829-7817
Fax(215) 829-7129
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateSeptember 17, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2023
✔ NPI 1639528342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD481516
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 SPRUCE ST, Philadelphia, PA 19107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Samuel Duane Lipten 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 ID2860787033
PECOS Enrollment IDI20230726001720
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 Samuel Lipten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Care Associates Of The University Of Pennsylvania Health Syst
0.9 mi
Foot and Ankle Surgery
230 W WASHINGTON SQ, 5TH FLOOR
Philadelphia, PA 19106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
NPI 1942319777 (215) 829-3668

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 6

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.

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.
211 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
121 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services49 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services41 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.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$59.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$33.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNA SNYDER MD
Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (856) 803-3694
MR. ANTHONY JOHN CORDISCO
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
PEDRO GONZALEZ-ALEGRE MD
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CATRINA JONES CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
KATHLEEN M VELOSO MD
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
MICHELLE RAE HALVORSEN CRNP
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3301
MOHAMMAD M SARHAN MD
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410
NEEPA SHAH MD
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410

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 Samuel Lipten's NPI number?

The NPI number for Samuel Lipten is 1639528342. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Samuel Lipten located?

Samuel Lipten practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-7817.

What is Samuel Lipten's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Lipten enrolled in Medicare?

Yes. Samuel Lipten 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 Samuel Lipten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Lipten reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). 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 Samuel Lipten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Lipten accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Samuel Lipten 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 Samuel Lipten affiliated with any hospitals?

According to CMS data, Samuel Lipten is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Lipten was last updated on September 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.