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DR. ANDREW W PIPPAS MD
NPI 1831262922
Internal Medicine - Medical Oncology in Columbus, GA

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1831 5TH AVE, COLUMBUS, GA 31904(706) 320-8780(706) 660-2583 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew W Pippas Md NPPES

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

DR. ANDREW W PIPPAS MD (NPI 1831262922) is an individual medical oncology provider in Columbus, Georgia, licensed in Georgia (053506) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of University Of Utah School Of Medicine (1980).

NPPES Registry Identity

NPI1831262922
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. ANDREW W PIPPASCredential: MD
Location Address1831 5TH AVEColumbus, GA 31904
Mailing Address1831 5th AveColumbus, GA 31904 · (706) 320-8780 · Fax (706) 660-2583
Phone(706) 320-8780
Fax(706) 660-2583
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1980
Enumeration DateNovember 16, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1831262922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in GA · 053506
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1831 5TH AVE, Columbus, GA 31904
Open in Google Maps ↗

Other Identifiers 14

Other252002GA · Bcbs
Other60035437AL · Bcbs
Other009957965AL · Caid
Medicaid246604314AGA
Other305012GA · Wellcare
OtherP00109714Rr Medicare
Other582578648Evergreen
Medicare ID-Type UnspecifiedP00108794Rr
Medicare UPINF61114
Other58257864831901B001Tricare Wps
Other5825786483901-B001Wps-tricare
Medicare ID-Type Unspecified83BBBTV
Medicaid009937965AL
Other7814546Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Andrew W Pippas 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 ID1052201522
PECOS Enrollment IDI20040318000175
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 10

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.
1,278 services406 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.
411 services316 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.
381 services166 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.
120 services70 patients
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.
112 services66 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.
50 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%711 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
49%506 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%946 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
13%6,566 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%3,390 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
99%877 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%219 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
99%1,928 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%1,490 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%1,605 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,571 patients
Patients tobacco: 92% · 1,571 patients
1%115 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%1,490 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
10%877 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,736 services$1.20 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 suppliers13 claims13 services$91.00 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,092 services$0.67 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers14 claims14 services$17.64 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.

SRIVIDYA SRINIVASAMAHARAJ M.D.
Internal Medicine (Hematology & Oncology)
1831 5TH AVE
COLUMBUS, GA 31904
Muscogee County (706) 320-8780
MRS. ELLIE KATHRYN FRANKLIN NP
Nurse Practitioner (Family)
1831 5TH AVE
COLUMBUS, GA 31904
Muscogee County (706) 320-8780
RADIATION ONCOLOGY OF COLUMBUS PC
Radiology (Radiation Oncology)
1831 5TH AVE
COLUMBUS, GA 31904
Muscogee County (706) 571-1050
RENEWAL, INC
Durable Medical Equipment & Medical Supplies
1831 5TH AVE, SUITE 200
COLUMBUS, GA 31904
Muscogee County (706) 320-8766
YETUNDE WURAOLA OGUNSESAN MD
Internal Medicine (Hematology & Oncology)
1831 5TH AVE
COLUMBUS, GA 31904
Muscogee County (706) 320-8780
DANIEL N GWAN-NULLA M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1831 5TH AVE
COLUMBUS, GA 31904
Muscogee County (706) 320-8780
MEDICAL CENTER, INC.
Durable Medical Equipment & Medical Supplies
1831 5TH AVE, SUITE 200
COLUMBUS, GA 31904
Muscogee County (706) 320-8766
DR. CLINT MERRITT M.D.
Surgery
1831 5TH AVE
COLUMBUS, GA 31904
Muscogee County (706) 320-8660

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 Andrew Pippas's NPI number?

The NPI number for Andrew Pippas is 1831262922. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Andrew Pippas located?

Andrew Pippas practices at 1831 5th Ave, Columbus, GA 31904. The listed phone number is (706) 320-8780.

What is Andrew Pippas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Andrew Pippas enrolled in Medicare?

Yes. Andrew Pippas 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 Andrew Pippas accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Andrew Pippas 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 Andrew Pippas affiliated with any hospitals?

According to CMS data, Andrew Pippas is affiliated with Piedmont Columbus Regional Midtown, St Francis Hospital- Emory Healthcare, Piedmont Columbus Regional Northside, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Andrew Pippas was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.