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MARY D TIPTON MD
NPI 1922065598
Pediatrics in West Jordan, UT

Active since April 27, 2006Opted out of Medicare · through Apr 11, 2028
3570 W 9000 S STE 220, WEST JORDAN, UT 84088(801) 890-3837(801) 743-7596 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2026, Jun 10, 2025, Sep 26, 2024 and 1 more (4 updates tracked since 2016).

About Mary D Tipton Md NPPES

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

MARY D TIPTON MD (NPI 1922065598) is an individual pediatrics provider in West Jordan, Utah, licensed in Utah (5934303-1205) and active in the NPI registry since April 2006. She has opted out of Medicare through April 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922065598
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY D TIPTONCredential: MD
Location Address3570 W 9000 S STE 220West Jordan, UT 84088-8873
Mailing Address3570 W 9000 S Ste 220West Jordan, UT 84088-8873 · (801) 890-3837 · Fax (801) 743-7596
Phone(801) 890-3837
Fax(801) 743-7596
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateMay 31, 20264 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1922065598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 5934303-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5934303-1205 (UT)
3570 W 9000 S STE 220, West Jordan, UT 84088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary D Tipton Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2024 through April 11, 2028.

Opt-Out Effective DateApril 11, 2024
Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84088 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 4

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers12 claims66 services$1.71 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$24.63 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 suppliers22 claims22 services$60.43 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$162.19 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

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

JOLOLENE ALLAN FNP
Nurse Practitioner (Family)
3570 W 9000 S STE 220
WEST JORDAN, UT 84088
Salt Lake County (385) 645-7474

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 Mary Tipton's NPI number?

The NPI number for Mary Tipton is 1922065598. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Mary Tipton located?

Mary Tipton practices at 3570 W 9000 S Ste 220, West Jordan, UT 84088. The listed phone number is (801) 890-3837.

What is Mary Tipton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Tipton enrolled in Medicare?

No. Mary Tipton has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mary Tipton accept?

Health plans from Select Health list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Tipton was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.