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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CANDICE RACHELLE CHIPMAN M.D.
NPI 1649582214
Surgery in Hatboro, PA

Active since July 11, 2010PECOS EnrolledAccepts Medicare Assignment
319 W COUNTY LINE RD STE 2, HATBORO, PA 19040(215) 559-6923(215) 559-6925 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Jan 15, 2026, Jun 22, 2018 (3 updates tracked since 2018).

About Dr. Candice Rachelle Chipman M.d. NPPES

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

DR. CANDICE RACHELLE CHIPMAN M.D. (NPI 1649582214) is an individual surgery provider in Hatboro, Pennsylvania, licensed in Pennsylvania (MD461798) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Meharry Medical College School Of Medicine (2009).

NPPES Registry Identity

NPI1649582214
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. CANDICE RACHELLE CHIPMANCredential: M.D.
Location Address319 W COUNTY LINE RD STE 2Hatboro, PA 19040-1605
Mailing Address319 W County Line Rd Ste 2Hatboro, PA 19040-1605 · (215) 559-6923 · Fax (215) 559-6925
Phone(215) 559-6923
Fax(215) 559-6925
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2009
Enumeration DateJuly 11, 2010
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1649582214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD461798✔ Licensed in NY · 285705✔ Licensed in OH · 127549
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 · License 003731 (GA)
319 W COUNTY LINE RD STE 2, Hatboro, PA 19040
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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. Candice Rachelle Chipman 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 ID6305128489
PECOS Enrollment IDI20171025003415
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 Reassignments

4

Medicare enrollment records show Candice Chipman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Success Specialists PLLC
Same address
Surgery
319 W COUNTY LINE RD STE 2
Hatboro, PA 19040
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1841153079 (215) 559-6923
Abington Memorial Hospital
2.3 mi
Surgery
225 NEWTOWN RD, 2ND FLOOR
Warminster, PA 18974
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
NPI 1710184023 (215) 441-6800
Montefiore Medical Center
73 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Long Island Minimally Invasive Surgery, P.C.
87 mi
Specialist
125 MINEOLA AVE, SUITE 200
Roslyn Heights, NY 11577
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Long Island Minimally Invasive Surgery PC
  • 37 clinicians in this Medicare group
NPI 1356545867 (516) 616-5500

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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19040 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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

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

SURGICAL SUCCESS SPECIALISTS PLLC
Surgery
319 W COUNTY LINE RD STE 2
HATBORO, PA 19040
Montgomery County (215) 559-6923

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 Candice Chipman's NPI number?

The NPI number for Candice Chipman is 1649582214. It was assigned to this individual provider in the NPPES registry on July 11, 2010.

Where is Candice Chipman located?

Candice Chipman practices at 319 W County Line Rd Ste 2, Hatboro, PA 19040. The listed phone number is (215) 559-6923.

What is Candice Chipman's specialty?

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

Is Candice Chipman enrolled in Medicare?

Yes. Candice Chipman 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 organizations bill Medicare for Candice Chipman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Chipman reassigns Medicare benefits to 4 organizations: Surgical Success Specialists PLLC (Hatboro, PA), Abington Memorial Hospital (Warminster, PA), Montefiore Medical Center (New York, NY) and Long Island Minimally Invasive Surgery, P.C. (Roslyn Heights, NY). Each 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 Candice Chipman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Chipman accept?

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

According to CMS data, Candice Chipman is affiliated with Lansdale Hospital, Holy Redeemer Hospital And Medical Center, Abington Memorial Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Candice Chipman was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.