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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. ERIC C LIPTON MD
NPI 1689649998
Family Medicine in Virginia Beach, VA

Active since February 21, 2006PECOS Enrolled
95.11/100
CMS Quality Rating
816 INDEPENDENCE BLVD, STE 100, VIRGINIA BEACH, VA 23455(757) 363-6800(757) 363-6488 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eric C Lipton Md NPPES

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

DR. ERIC C LIPTON MD (NPI 1689649998) is an individual family medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101051289) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of State University Of Ny Upstate Medical University (1991).

NPPES Registry Identity

NPI1689649998
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC C LIPTONCredential: MD
Location Address816 INDEPENDENCE BLVD, STE 100Virginia Beach, VA 23455
Mailing Address816 Independence Blvd, Ste 100Virginia Beach, VA 23455 · (757) 363-6800 · Fax (757) 363-6488
Phone(757) 363-6800
Fax(757) 363-6488
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1991
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1689649998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101051289
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
816 INDEPENDENCE BLVD, Virginia Beach, VA 23455
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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

Dr. Eric C Lipton 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 ID2668513730
PECOS Enrollment IDI20100112000148
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 8

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 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.
744 services381 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.
401 services241 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
308 services308 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
61 services53 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23455 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers25 claims89 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims30 services$1.08 avg. paid by Medicare
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 suppliers19 claims19 services$66.45 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$31.50 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$16.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers12 claims12 services$189.13 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.

VIRGINIA MEDICAL SPECIALIST, PLC
Internal Medicine (Pulmonary Disease)
816 INDEPENDENCE BLVD, STE 3C
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 363-8838
GARY JAY WAXMAN M.D.
Anesthesiology
816 INDEPENDENCE BLVD, STE 2A
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 363-6712
MRS. JAN ALICE JAMES PA-C
Physician Assistant
816 INDEPENDENCE BLVD, SUITE 100
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 363-6800
SENTARA MEDICAL GROUP
Internal Medicine (Pulmonary Disease)
816 INDEPENDENCE BLVD, STE 2H
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 363-6850
CATHERINE DALTON MD
Internal Medicine
816 INDEPENDENCE BLVD, SUITE 1-H
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 464-2013
DR. WALTER E VEST III MD
Internal Medicine
816 INDEPENDENCE BLVD, STE 1H
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 686-3508
JEANNETTE M HOLLOWELL CRNA
Nurse Anesthetist, Certified Registered
816 INDEPENDENCE BLVD, STE 2G
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 363-6728
ALLISON L LYNN PA
Physician Assistant
816 INDEPENDENCE BLVD, STE 1-H
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 464-2013

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 Eric Lipton's NPI number?

The NPI number for Eric Lipton is 1689649998. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Eric Lipton located?

Eric Lipton practices at 816 Independence Blvd Ste 100, Virginia Beach, VA 23455. The listed phone number is (757) 363-6800.

What is Eric Lipton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Lipton enrolled in Medicare?

Yes. Eric Lipton 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.

Is Eric Lipton affiliated with any hospitals?

According to CMS data, Eric Lipton is affiliated with Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Eric Lipton was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.