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DR. MICHAEL T LIPCAN III MD
NPI 1770624447
Internal Medicine - Gastroenterology in Ansonia, CT

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
22 WESTFIELD AVE, ANSONIA, CT 06401(203) 736-9919(203) 735-2055 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael T Lipcan Iii Md NPPES

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

DR. MICHAEL T LIPCAN III MD (NPI 1770624447) is an individual gastroenterology provider in Ansonia, Connecticut, licensed in Connecticut (43212) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1999).

NPPES Registry Identity

NPI1770624447
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MICHAEL T LIPCAN IIICredential: MD
Location Address22 WESTFIELD AVEAnsonia, CT 06401-1158
Mailing Address22 Westfield AveAnsonia, CT 06401-1158 · (203) 736-9919 · Fax (203) 735-2055
Phone(203) 736-9919
Fax(203) 735-2055
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1999
Enumeration DateFebruary 8, 2007
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1770624447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 43212
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
22 WESTFIELD AVE, Ansonia, CT 06401
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Other Identifiers 1

Medicaid001432129CT

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. Michael T Lipcan Iii 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 ID6103878293
PECOS Enrollment IDI20050526000263
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 9

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.
116 services73 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
43 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services33 patients
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.
27 services25 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.
26 services19 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
23 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06401 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 19

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

BRUCE T BRENNAN MD
Internal Medicine
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 734-7100
ROY E. KALMAN M.D.
Obstetrics & Gynecology (Gynecology)
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 735-3393
MR. JONATHAN T SIMON M.D.
Internal Medicine
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
GASTROENTEROLOGY SPECIALISTS PC
Nurse Practitioner
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
M EHSAN QADIR MD LLC
Internal Medicine
22 WESTFIELD AVE, SUITE 1
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 732-1677
AMY J MIKLOS PA-C
Physician Assistant
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
DR. SARAH ELIZABETH OLIVIER-CABRERA MD
Internal Medicine (Gastroenterology)
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
DR. MUHAMMAD EHSAN QADIR M.D.
Internal Medicine
22 WESTFIELD AVE, UNIT 1
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 732-1677

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 Michael Lipcan's NPI number?

The NPI number for Michael Lipcan is 1770624447. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Michael Lipcan located?

Michael Lipcan practices at 22 Westfield Ave, Ansonia, CT 06401. The listed phone number is (203) 736-9919.

What is Michael Lipcan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Lipcan enrolled in Medicare?

Yes. Michael Lipcan 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 Michael Lipcan was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.