APRIL LEANN TIPTON D.O.
NPI 1790042224
Family Medicine in Circleville, OH

Active since April 22, 2012PECOS EnrolledAccepts Medicare Assignment
1180 N COURT ST, CIRCLEVILLE, OH 43113(740) 420-8030 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, May 6, 2021, May 27, 2020 (3 updates tracked since 2020).

About April Leann Tipton D.o. NPPES

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

APRIL LEANN TIPTON D.O. (NPI 1790042224) is an individual family medicine provider in Circleville, Ohio, licensed in Ohio (011296) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1790042224
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAPRIL LEANN TIPTONCredential: D.O.
Location Address1180 N COURT STCircleville, OH 43113-1397
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 22, 2012
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
NPI 1790042224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 011296
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.
1180 N COURT ST, Circleville, OH 43113

Other Identifiers 1

Medicaid0122338OH

Accepted Insurance

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

April Leann Tipton 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 ID1355655721
PECOS Enrollment IDI20150729007646
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 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.
224 services145 patients
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.
169 services122 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.
126 services126 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
54 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services54 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Berger Hospital

Acute Care Hospitals · Circleville, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360170
Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers29 claims64 services$6.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$12.08 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
3 suppliers36 claims36 services$76.78 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 9

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

Clinic/Center (Primary Care)
1180 N COURT ST
CIRCLEVILLE, OH 43113
Optometrist
1180 N COURT ST, SUITE F
CIRCLEVILLE, OH 43113
Family Medicine
1180 N COURT ST
CIRCLEVILLE, OH 43113
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1180 N COURT ST, SUITE E
CIRCLEVILLE, OH 43113
Nurse Practitioner (Family)
1180 N COURT ST
CIRCLEVILLE, OH 43113
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1180 N COURT ST
CIRCLEVILLE, OH 43113
Family Medicine
1180 N COURT ST
CIRCLEVILLE, OH 43113
Nurse Practitioner (Adult Health)
1180 N COURT ST
CIRCLEVILLE, OH 43113

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 April Tipton's NPI number?

The NPI number for April Tipton is 1790042224. It was assigned to this individual provider in the NPPES registry on April 22, 2012.

Where is April Tipton located?

April Tipton practices at 1180 N Court St, Circleville, OH 43113. The listed phone number is (740) 420-8030.

What is April Tipton's specialty?

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

Is April Tipton enrolled in Medicare?

Yes. April Tipton 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.

What insurance does April Tipton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list April Tipton 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 April Tipton affiliated with any hospitals?

According to CMS data, April Tipton is affiliated with Riverside Methodist Hospital and Berger Hospital.

When was this NPI record last updated?

The NPPES record for April Tipton was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.