Active NPI
John Randy Gipple, M.D.
- Orthopaedic Surgery Physician
- Muscatine, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 29857
- Practice address
- 1616 Cedar St
Muscatine, IA 52761-3475 - Phone
- (563) 264-9185
- NPI assigned
- Dec 22, 2005
- Last updated
- Apr 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29857 | IA | Primary |
Addresses
Primary practice location
1616 Cedar St
Muscatine, IA 52761-3475
Mailing address
1616 Cedar St
Muscatine, IA 52761-3453
Phone (563) 264-9185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1112011 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1221 S Gear Ave
West Burlignton, IA 52655-1679
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29857 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients |
Locations
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
1225 S Gear Ave
Ste 159
West Burlington, IA 52655
Phone (319) 752-4553
1401 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-4100
1401 W Agency Rd
Ste 101
West Burlington, IA 52655
Phone (319) 768-4970
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Iowa Regional Medical Center
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1336126127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CEDAR ST",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527613453",
"telephone_number": "563-264-9185",
"fax_number": "563-264-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CEDAR ST",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527613475",
"telephone_number": "563-264-9185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPPLE",
"first_name": "JOHN",
"middle_name": "RANDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "29857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1112011",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.