Todd Lipphardt, PA
NPI 1962470633 · Physician Assistant · Highlands, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Lipphardt, PA is a Physician Assistant provider in Highlands, NC (NPI 1962470633).
Provider details
- NPI number
- 1962470633
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 5601001868 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
260 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 118 | $76 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 36 | $61 |
| 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/MsG0480 | 33 | $112 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $138 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $105 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 361 | 101 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 320 | 82 |
| Gabapentin | 146 | 58 |
| Tizanidine Hcl | 140 | 69 |
| Oxycodone Hcl | 136 | 33 |
| Tramadol Hcl | 127 | 51 |
| Meloxicam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$210 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2017-06-27
Frequently asked questions
- What is Todd Lipphardt's NPI number?
- Todd Lipphardt's National Provider Identifier (NPI) is 1962470633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Lipphardt's specialty?
- Todd Lipphardt is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Todd Lipphardt located?
- Todd Lipphardt's practice location on file with NPPES is 209 Hospital Drive, Highlands, NC 28741-7622.
- What is Todd Lipphardt's phone number?
- The practice phone number listed in the NPPES registry for Todd Lipphardt is (828) 526-4346.
- Does Todd Lipphardt accept Medicare?
- Todd Lipphardt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Lipphardt's NPI active?
- Yes — Todd Lipphardt's NPI (1962470633) is active in the NPPES registry as of the last update on 2017-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.