GLENN E LIPTON M.D.
NPI 1861431504
Orthopaedic Surgery in Pottstown, PA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
69.83/100
CMS Quality Rating
1561 MEDICAL DRIVE, POTTSTOWN, PA 19464(610) 792-9292(610) 792-9293 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn E Lipton M.d. NPPES

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

GLENN E LIPTON M.D. (NPI 1861431504) is an individual orthopaedic surgery provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD423873) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Temple University School Of Medicine (2001).

NPPES Registry Identity

NPI1861431504
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameGLENN E LIPTONCredential: M.D.
Location Address1561 MEDICAL DRIVEPottstown, PA 19464
Mailing Address1561 Medical Dr.Pottstown, PA 19464 · (610) 792-9292 · Fax (610) 792-9293
Fax(610) 792-9293
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2001
Enumeration DateJune 6, 2006
Last NPPES UpdateJanuary 16, 2014
NPI 1861431504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD423873
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1561 MEDICAL DRIVE, Pottstown, PA 19464

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

Glenn E Lipton M.d. 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 ID3476558115
PECOS Enrollment IDI20061002000238
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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,760 services155 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.
418 services246 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.
264 services180 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
166 services101 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
117 services62 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
85 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.51
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
0%1,110 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
90%4,448 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%530 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,353 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 60% · 1,528 patients
Patients screened: 60% · 1,528 patients
50%20 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%102 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 566 patients
Patients totalRate: 0% · 566 patients
0%566 patients5/55-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.

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 Glenn Lipton's NPI number?

The NPI number for Glenn Lipton is 1861431504. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Glenn Lipton located?

Glenn Lipton practices at 1561 Medical Drive, Pottstown, PA 19464. The listed phone number is (610) 792-9292.

What is Glenn Lipton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Glenn Lipton enrolled in Medicare?

Yes. Glenn 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.

What insurance does Glenn Lipton accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Glenn Lipton 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 Glenn Lipton affiliated with any hospitals?

According to CMS data, Glenn Lipton is affiliated with Pottstown Hospital, Phoenixville Hospital and Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Glenn Lipton was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.