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TODD DAVID LIPPHARDT PA
NPI 1962470633
Physician Assistant in Highlands, NC

Active since March 09, 2006PECOS Enrolled
75/100
CMS Quality Rating
209 HOSPITAL DRIVE, SUITE 104, HIGHLANDS, NC 28741(828) 526-4346(828) 526-2914 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2017, Mar 18, 2016, Feb 19, 2016 and 1 more (4 updates tracked since 2015).

About Todd David Lipphardt Pa NPPES

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

TODD DAVID LIPPHARDT PA (NPI 1962470633) is an individual physician assistant in Highlands, North Carolina, licensed in North Carolina (0010-05321) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962470633
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTODD DAVID LIPPHARDTCredential: PA
Location Address209 HOSPITAL DRIVE, SUITE 104Highlands, NC 28741-7622
Mailing AddressPo Box 254Skyland, NC 28776-0254 · (828) 708-9876 · Fax (828) 708-9876
Phone(828) 526-4346
Fax(828) 526-2914
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJune 27, 20174 updates tracked since enumeration
✔ NPI 1962470633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-05321✔ Licensed in MI · 5601001868
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
209 HOSPITAL DRIVE, Highlands, NC 28741
Open in Google Maps ↗

Other Identifiers 1

OtherNCR510A194NC · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 (PECOS)

Todd David Lipphardt Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.
118 services96 patients
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.
49 services12 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
36 services35 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
33 services32 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.
22 services22 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.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28741 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

Other Providers at the Same Location NPPES 2

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

HIGHLANDS-CASHIERS HOSPITAL, INC.
Internal Medicine
209 HOSPITAL DRIVE, SUITE 304
HIGHLANDS, NC 28741
Macon County (828) 526-5045
HIGHLANDS-CASHIERS HOSPITAL, INC.
Family Medicine
209 HOSPITAL DRIVE, SUITE 303
HIGHLANDS, NC 28741
Macon County (828) 526-4942

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 Todd Lipphardt's NPI number?

The NPI number for Todd Lipphardt is 1962470633. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Todd Lipphardt located?

Todd Lipphardt practices at 209 Hospital Drive Suite 104, Highlands, NC 28741. The listed phone number is (828) 526-4346.

What is Todd Lipphardt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Lipphardt enrolled in Medicare?

Yes. Todd Lipphardt is registered in the Medicare PECOS enrollment system.

What insurance does Todd Lipphardt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Todd Lipphardt 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 Todd Lipphardt was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.