Individual provider Active NPI

Christopher P Lipsmeyer, MD

  • Emergency Medicine Physician
  • Maryville, IL
National Provider Identifier
1164536512
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
46236 Issued in FL
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.

View all 37

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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, Inc 28 clinicians
Western Virginia Regional Emergency Physicians LLC 88 clinicians
Midwest Emergency Anderson Health Inc 33 clinicians
Midwest Emergency Sparta, Inc. 13 clinicians

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 Hospital, Maryville, IL, CCN 140289
  • Clay County Hospital Hospital, Flora, IL, CCN 141351
  • Lee County Community Hospital Hospital, Pennington Gap, VA, CCN 491309
  • Paris Community Hospital Hospital, Paris, IL, CCN 141320
  • Sparta Community Hospital Hospital, Sparta, IL, CCN 141349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KS, FL, IA, OH, VA, TN, IN, GA, AL10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
46236FLMDEmergency Medicine Physician
MD38533IAMDEmergency Medicine Physician
36-116105ILMDEmergency Medicine Physician
0432906KSMDEmergency Medicine Physician
45360KYMDEmergency Medicine Physician
303380LAMDEmergency Medicine Physician
4301081397MIMDEmergency Medicine Physician
35.094674OHMDEmergency Medicine Physician
Q1440TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Good Samaritan, Inc Emergency Medicine CurrentSince Feb 18, 2024 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Miami County Medical Center Inc. CurrentSince Apr 11, 2013 Accepting new patients
Midwest Emergency Sparta, Inc Emergency Medicine CurrentSince Feb 18, 2024 Accepting new patients
Midwest Inpatient Anderson Health, Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Seven Hills Emergency Group, PC Emergency Medicine CurrentSince Apr 20, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Tri-Cities Observation Services, PC Emergency Medicine CurrentSince Dec 16, 2017 Accepting new patients
Miami County Medical Center Inc Emergency Medicine CurrentSince Apr 11, 2013 Accepting new patients
Rockledge Emergency Group LLC Emergency Medicine CurrentSince Jul 31, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Woodbury Emergency Group, PC Emergency Medicine CurrentSince Dec 4, 2019 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Jan 15, 2021 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 9, 2017 Accepting new patients
Midwest Hospitalist Physicians LLP CurrentSince Sep 1, 2016 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 27, 2016 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
Midwest Emergency Anderson Health, Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Sanburg Emergency Group, P.C. Emergency Medicine PastSince Apr 15, 2020 Accepting new patients
Via Christi Emergency Physician Services, LLC Emergency Medicine Past Accepting new patients
Macoupin Physician Services, PC PastSince Nov 1, 2021 Accepting new patients
Cook Physician Services, P.C. PastSince Jun 1, 2024 Accepting new patients
Midwest Emergency Services Inc Emergency Medicine Past Accepting new patients
Clarksville Physician Services PC PastSince Sep 29, 2022 Accepting new patients
Illinois Hospitalists, LLP PastSince Sep 1, 2020 Accepting new patients
Krishna Das MD Inc. PastSince Feb 4, 2024 Accepting new patients
Iowa Care Services, PC Emergency Medicine PastSince Jul 15, 2021 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine PastSince Sep 1, 2020 Accepting new patients
Eldorado Emergency Group PC Emergency Medicine PastSince Aug 1, 2022 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

  • Direct secure messaging: clipsmeyer506283@direct-ehr-ssmhc.com

Specialties & licenses 15

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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
IdentifierTypeStateIssuer
036116105MedicaidIL
1164536512MedicaidVA
11647536512MedicaidID
7100146810MedicaidKY
P00657549OtherMORR MEDICARE
1164536512OtherIABLUE SHIELD
1164536512MedicaidMO
68323OtherFLBC BS OF FL
1164536512MedicaidIA
1521057MedicaidTN
200423200DMedicaidKS
06032182OtherILBLUE CROSS BLUE SHIELD
1164536512MedicaidWA
3006106MedicaidOH
000386700MedicaidFL
1720253172MedicaidMT
1164536512OtherKSBCBS
3810018865MedicaidWV

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": [
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        },
        {
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            "license": "0101246429",
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        },
        {
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            "license": "MD60132287",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
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            "state": "AL",
            "license": "MD.32515",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
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            "state": "MS",
            "license": "22512",
            "primary": false
        },
        {
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            "state": "TX",
            "license": "Q1440",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
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            "state": "IA",
            "license": "MD38533",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01067277A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
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            "state": "KY",
            "license": "45360",
            "primary": false
        },
        {
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            "license": "303380",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
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            "state": "MI",
            "license": "4301081397",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "46236",
            "primary": true
        }
    ],
    "identifiers": [
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            "issuer": "BLUE CROSS BLUE SHIELD",
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        {
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            "issuer": "BCBS",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.