Larry Wayne Kipe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR0028686 Issued in CO

Practice address

600 Russell St
Craig, CO 81625-2018

Phone

(970) 824-3252

Fax

(970) 824-8015

NPI assigned

May 9, 2006

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Memorial HospitalGroup PAC ID 1254231533, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital, the Hospital, Craig, CO, CCN 061314
• Uchealth Yampa Valley Medical Center Hospital, Steamboat Springs, CO, CCN 060049

Merit-based Incentive Payment System (MIPS)

Final score

94.89 of 100Reported as apm

Quality

86.88

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Memorial Hospital

  dba Memorial Regional Health

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Medicare reassignment Care Compare group NPD
• Moffat Family Clinic, LLC

  • Family Medicine Physician
  • Craig, CO
  • NPI 1568511855
  Authorized official Same address or phone
• The Memorial Hospital

  dba Memorial Regional Health

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809
  NPD

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

• The Memorial Hospital

  dba Memorial Regional Health

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Care Compare affiliation
• The Memorial Hospital

  dba Memorial Regional Health

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809

  Hospital

  Care Compare affiliation
• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • General Acute Care Hospital
  • Oak Creek, CO
  • NPI 1164081345
  Care Compare affiliation
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Hayden, CO
  • NPI 1295394203
  Care Compare affiliation
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Steamboat Springs, CO
  • NPI 1790787307
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1396794046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252018",
            "telephone_number": "970-824-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252018",
            "telephone_number": "970-824-3252",
            "fax_number": "970-824-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPE",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CO",
            "license": "28686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0028686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ANTHEM",
            "identifier": "39693",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286863",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIO GRAND MEDICARE",
            "identifier": "080044735",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malea Johnson, RDH, EPDH
• Jean Carol Jones, RN
• Annie Juergens, RDH
• Karla Persichitte LPC LLC
• Joe Kenady, R.PH
• Kirk McKey DC PC (McKey Chiropractic PC)
• Robyn Dee Kitchen, MA, CCC-SLP
• Knerl Medicine LLC
• Amy Jo Knights, RN
• Marshall Kraker, ATC

• Family Medicine Physician in Craig, CO
• Providers in Craig, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.