Active NPI
Christopher P Lipsmeyer, MD
- Emergency Medicine Physician
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 46236
- Practice address
- 6800 State Route 162
Maryville, IL 62062-8500 - Phone
- (618) 288-5711
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 37
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1629367578
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Sparta, IL
- NPI 1194162370
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Galax, VA
- NPI 1417187667
Emergency Medicine, VA
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1386879427
Emergency Medicine, IA
-
- Emergency Medicine Physician
- Jefferson, IA
- NPI 1467030254
Emergency Medicine, IA
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
Emergency Medicine, VA
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1821758608
Emergency Medicine, IL
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
VA
-
- Emergency Medicine Physician
- Paola, KS
- NPI 1881742807
Emergency Medicine, KS
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Emergency Good Samaritan, IncWestern Virginia Regional Emergency Physicians LLCMidwest Emergency Anderson Health IncMidwest Emergency Sparta, Inc.
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
100 15TH St NW
Norton, VA 24273-1616
Phone (276) 439-1000
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177
Hospital & facility affiliations
- Anderson Hospital
- Clay County Hospital
- Lee County Community Hospital
- Paris Community Hospital
- Sparta Community Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KS, FL, IA, OH, VA, TN, IN, GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061101000465 | IL | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 6 organizations |
| I20080520000103 | KS | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 1 organization |
| I20081103000675 | FL | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 1 organization |
| I20090706000009 | IA | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 3 organizations |
| I20100202000348 | OH | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 2 organizations |
| I20100329001093 | VA | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 3 organizations |
| I20101202001233 | TN | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 2 organizations |
| I20130114000343 | IN | Practitioner - Emergency Medicine | 9931106168 | |
| I20140501001252 | GA | Practitioner - Emergency Medicine | 9931106168 | |
| I20140509002064 | AL | Practitioner - Emergency Medicine | 9931106168 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46236 | FL | MD | Emergency Medicine Physician |
| MD38533 | IA | MD | Emergency Medicine Physician |
| 36-116105 | IL | MD | Emergency Medicine Physician |
| 0432906 | KS | MD | Emergency Medicine Physician |
| 45360 | KY | MD | Emergency Medicine Physician |
| 303380 | LA | MD | Emergency Medicine Physician |
| 4301081397 | MI | MD | Emergency Medicine Physician |
| 35.094674 | OH | MD | Emergency Medicine Physician |
| Q1440 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Good Samaritan, Inc | Emergency Medicine | Current | Accepting new patients |
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Miami County Medical Center Inc. | Current | Accepting new patients | |
| Midwest Emergency Sparta, Inc | Emergency Medicine | Current | Accepting new patients |
| Midwest Inpatient Anderson Health, Inc | Emergency Medicine | Current | Accepting new patients |
| Seven Hills Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Tri-Cities Observation Services, PC | Emergency Medicine | Current | Accepting new patients |
| Miami County Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Rockledge Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Mid-Ohio Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Woodbury Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Emergency Physicians of Southern Virginia LLP | Emergency Medicine | Current | Accepting new patients |
| Western Virginia Regional Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Midwest Hospitalist Physicians LLP | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Southern Alabama Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Southern Alabama Physicians,LLP | Emergency Medicine | Current | Accepting new patients |
| Midwest Emergency Anderson Health, Inc | Emergency Medicine | Current | Accepting new patients |
| Sanburg Emergency Group, P.C. | Emergency Medicine | Past | Accepting new patients |
| Via Christi Emergency Physician Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Macoupin Physician Services, PC | Past | Accepting new patients | |
| Cook Physician Services, P.C. | Past | Accepting new patients | |
| Midwest Emergency Services Inc | Emergency Medicine | Past | Accepting new patients |
| Clarksville Physician Services PC | Past | Accepting new patients | |
| Illinois Hospitalists, LLP | Past | Accepting new patients | |
| Krishna Das MD Inc. | Past | Accepting new patients | |
| Iowa Care Services, PC | Emergency Medicine | Past | Accepting new patients |
| North Indiana Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Eldorado Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| EMS, LLC | Emergency Medicine | Past | Accepting new patients |
| Physicians Acute Care Services, Inc | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
75 Remit Dr
Chicago, IL 60675
75 Remit Dr
Ste 3309
Chicago, IL 60675
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840
Interoperability endpoints
- clipsmeyer506283@direct-ehr-ssmhc.com
Specialties & licenses 15
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36-116105 | IL | |
| Emergency Medicine Physician | 207P00000X | 0432906 | KS | |
| Emergency Medicine Physician | 207P00000X | 35.094674 | OH | |
| Emergency Medicine Physician | 207P00000X | 2006029618 | MO | |
| Emergency Medicine Physician | 207P00000X | 0101246429 | VA | |
| Emergency Medicine Physician | 207P00000X | MD60132287 | WA | |
| Emergency Medicine Physician | 207P00000X | MD.32515 | AL | |
| Emergency Medicine Physician | 207P00000X | 22512 | MS | |
| Emergency Medicine Physician | 207P00000X | Q1440 | TX | |
| Emergency Medicine Physician | 207P00000X | MD38533 | IA | |
| Emergency Medicine Physician | 207P00000X | 01067277A | IN | |
| Emergency Medicine Physician | 207P00000X | 45360 | KY | |
| Emergency Medicine Physician | 207P00000X | 303380 | LA | |
| Emergency Medicine Physician | 207P00000X | 4301081397 | MI | |
| Emergency Medicine Physician | 207P00000X | 46236 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6800 State Route 162
Maryville, IL 62062-8500
Mailing address
PO Box 8351
Fort Worth, TX 76124-0351
Phone (817) 451-4208
Other identifiers 18
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036116105 | Medicaid | IL | |
| 1164536512 | Medicaid | VA | |
| 11647536512 | Medicaid | ID | |
| 7100146810 | Medicaid | KY | |
| P00657549 | Other | MO | RR MEDICARE |
| 1164536512 | Other | IA | BLUE SHIELD |
| 1164536512 | Medicaid | MO | |
| 68323 | Other | FL | BC BS OF FL |
| 1164536512 | Medicaid | IA | |
| 1521057 | Medicaid | TN | |
| 200423200D | Medicaid | KS | |
| 06032182 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1164536512 | Medicaid | WA | |
| 3006106 | Medicaid | OH | |
| 000386700 | Medicaid | FL | |
| 1720253172 | Medicaid | MT | |
| 1164536512 | Other | KS | BCBS |
| 3810018865 | Medicaid | WV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1164536512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8351",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761240351",
"telephone_number": "817-451-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 STATE ROUTE 162",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628500",
"telephone_number": "618-288-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSMEYER",
"first_name": "CHRISTOPHER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36-116105",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "0432906",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.094674",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2006029618",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101246429",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60132287",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.32515",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "22512",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q1440",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "MD38533",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01067277A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "45360",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "303380",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301081397",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "46236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036116105",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164536512",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11647536512",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100146810",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00657549",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1164536512",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164536512",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF FL",
"identifier": "68323",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164536512",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521057",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200423200D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "06032182",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164536512",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3006106",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000386700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720253172",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1164536512",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810018865",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.