MARK E LIPITZ D.O.
NPI 1649240318
Psychiatry & Neurology - Neurology in Altoona, PA

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment

73.64/100

CMS Quality Rating

1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602(814) 946-1655(814) 949-7616 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark E Lipitz D.o. NPPES

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

MARK E LIPITZ D.O. (NPI 1649240318) is an individual neurology provider in Altoona, Pennsylvania, licensed in Pennsylvania (OS008406L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1649240318

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARK E LIPITZCredential: D.O.

Location Address1414 9TH AVE, STATION MEDICAL CENTERAltoona, PA 16602-2454

Mailing Address1414 9th Ave, Station Medical CenterAltoona, PA 16602-2454 · (814) 946-1655 · Fax (814) 949-7616

Phone(814) 946-1655

Fax(814) 949-7616

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJanuary 25, 2006

Last NPPES UpdateApril 20, 2012

✔ NPI 1649240318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in PA · OS008406L

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1414 9TH AVE, Altoona, PA 16602

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Other Identifiers 3

Medicaid0014693600001PA

Medicare UPINF82317PA

Medicare PIN049115PA

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

Mark E Lipitz D.o. 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 ID5597958728

PECOS Enrollment IDI20101020001240

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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 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.

167 services156 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

93 services91 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

60 services60 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

57 services28 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

40 services39 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

36 services34 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services25 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

23 services22 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

22 services22 patients

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

16 services14 patients

Measurement of brain wave activity (eeg), 12-26 hours with health care professional review and report 95719

This procedure involves recording brain activity for 12-26 hours using an EEG (Electroencephalogram). Sensors placed on your scalp capture electrical signals produced by your brain. These signals are reviewed by a healthcare professional to detect any abnormalities.

16 services12 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390039

Location225 South Center AvenueSomerset, PA 15501 · Somerset County

Emergency services

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

73.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.81

Promoting Interoperability

100

Improvement Activities

Cost

42.34

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

59%349 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers110 claims110 services$39.65 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers132 claims132 services$97.44 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers128 claims296 services$36.18 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers100 claims360 services$22.57 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers26 claims130 services$15.81 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers118 claims118 services$61.43 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.

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