DR. JOHN KENNETH LIPPINCOTT MD
NPI 1871094110
Ophthalmology in Portland, ME

Active since February 22, 2018PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
53 SEWALL ST, PORTLAND, ME 04102(207) 828-2020(207) 773-7034 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Sep 9, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. John Kenneth Lippincott Md NPPES

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

DR. JOHN KENNETH LIPPINCOTT MD (NPI 1871094110) is an individual ophthalmology provider in Portland, Maine, licensed in Maine (MD28019) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Mississippi School Of Medicine (2018).

NPPES Registry Identity

NPI1871094110
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN KENNETH LIPPINCOTTCredential: MD
Location Address53 SEWALL STPortland, ME 04102-2625
Mailing Address53 Sewall StPortland, ME 04102-2625 · (207) 828-2020 · Fax (207) 773-7034
Fax(207) 773-7034
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018
Enumeration DateFebruary 22, 2018
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1871094110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in ME · MD28019 Licensed in WI · 76892
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 76892 (WI)
53 SEWALL ST, Portland, ME 04102

Secondary Practice Locations 2

Location 1925 N 87th StMilwaukee, WI 53226-4812 · Phone (414) 955-2020 · Fax (414) 955-6300
Location 29000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-2020 · Fax (414) 266-2027

Other Identifiers 2

Medicaid1871094110ME
Medicaid1871094110WI

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

Dr. John Kenneth Lippincott 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 ID244642924
PECOS Enrollment IDI20240618002480
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 11

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
72 services53 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
60 services16 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
30 services26 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
30 services19 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 13

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

Anesthesiology
53 SEWALL ST
PORTLAND, ME 04102
Ophthalmology
53 SEWALL ST
PORTLAND, ME 04102
Optometrist
53 SEWALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
53 SEWALL ST
PORTLAND, ME 04102
Ophthalmology
53 SEWALL ST
PORTLAND, ME 04102
Ophthalmology
53 SEWALL ST
PORTLAND, ME 04102
Ophthalmology
53 SEWALL ST
PORTLAND, ME 04102
Ophthalmology
53 SEWALL ST
PORTLAND, ME 04102

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 John Lippincott's NPI number?

The NPI number for John Lippincott is 1871094110. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Where is John Lippincott located?

John Lippincott practices at 53 Sewall St, Portland, ME 04102. The listed phone number is (207) 828-2020.

What is John Lippincott's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Lippincott enrolled in Medicare?

Yes. John Lippincott 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 John Lippincott accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list John Lippincott 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.

When was this NPI record last updated?

The NPPES record for John Lippincott was last updated on September 17, 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.