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LOTON SHIPPEY MD
NPI 1730529496
Internal Medicine in Alameda, CA

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
84.1/100
CMS Quality Rating
2070 CLINTON AVE, ALAMEDA, CA 94501(510) 814-4397(510) 814-4391 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Loton Shippey Md NPPES

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

LOTON SHIPPEY MD (NPI 1730529496) is an individual internal medicine provider in Alameda, California, licensed in California (A148747) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Oregon Health Sciences University School Of Medicine (2015).

NPPES Registry Identity

NPI1730529496
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLOTON SHIPPEYCredential: MD
Location Address2070 CLINTON AVEAlameda, CA 94501-4399
Mailing Address2070 Clinton AveAlameda, CA 94501-4399 · (510) 814-4397 · Fax (510) 814-4391
Phone(510) 814-4397
Fax(510) 814-4391
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2015
Enumeration DateJune 26, 2013
Last NPPES UpdateNovember 18, 2019
✔ NPI 1730529496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A148747
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.
2070 CLINTON AVE, Alameda, CA 94501
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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park Rd, OHSUPortland, OR 97239-3011 · Phone (503) 494-8220

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

Loton Shippey 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 ID5991048449
PECOS Enrollment IDI20190523002701
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 7

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 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.
368 services169 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.
147 services138 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.
116 services79 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
102 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
83 services46 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
60 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94501 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

84.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.84
Improvement Activities0
Cost76.82

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.

ANTONIO DOMENICO MUTO-ISOLANI MD
Emergency Medicine
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 523-4357
WENDY DER HREPCSHAK RD
Dietitian, Registered
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 814-4024
DR. LORRAINE BONNER M.D.
Internal Medicine
2070 CLINTON AVE, RM 2113
ALAMEDA, CA 94501
Alameda County (510) 814-4397
DR. WILLIAM S LOWERY M.D.
Internal Medicine (Pulmonary Disease)
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 814-4089
SPHERICAL MEDICAL, PC
Internal Medicine
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 814-4397
ALICE CHENG
Registered Nurse
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 814-4340
DR. JONAS A WILLIAMS MD
Anesthesiology
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 522-4146
DR. CATHERINE K PYUN
Internal Medicine
2070 CLINTON AVE
ALAMEDA, CA 94501
Alameda County (510) 514-4397

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 Loton Shippey's NPI number?

The NPI number for Loton Shippey is 1730529496. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Loton Shippey located?

Loton Shippey practices at 2070 Clinton Ave, Alameda, CA 94501. The listed phone number is (510) 814-4397.

What is Loton Shippey's specialty?

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

Is Loton Shippey enrolled in Medicare?

Yes. Loton Shippey 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.

When was this NPI record last updated?

The NPPES record for Loton Shippey was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.