Individual provider Active NPI

William J Lipham, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1528053717
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
41668 Issued in TX
Practice address
5717 Balcones Dr
Austin, TX 78731-4203
Phone
(512) 327-7000
Fax
(512) 314-1613
NPI assigned
Sep 14, 2005
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 41668 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 41668 TX Primary

Addresses

Primary practice location

5717 Balcones Dr
Austin, TX 78731-4203

Mailing address

11305 Taylor Draper LN # 1a
Austin, TX 78759-3929
Phone (612) 701-2888

Other identifiers 3

IdentifierTypeStateIssuer
1528053717MedicaidTX
34027700MedicaidWI
668057700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041013000403 MN Practitioner - Ophthalmology 5496740532 Reassigns benefits to 2 organizations
I20260312003774 TX Practitioner - Ophthalmology 5496740532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Eye Consultants, PAGroup PAC ID 4284524539, 34 clinicians

Practice addresses (Care Compare)

9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800

Merit-based Incentive Payment System (MIPS)

Final score
80.11 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
60.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41668MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Eye, P.a. CurrentSince Mar 10, 2026 Accepting new patients
Texan Eye, PA Ophthalmology CurrentSince Mar 10, 2026 Accepting new patients
Minnesota Eye Consultants, PA Ophthalmology CurrentSince Aug 30, 1999 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2004 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2004 Accepting new patients

Locations

11091 Ulysses St NE
Ste 300
Blaine, MN 55434
Phone (763) 421-9410

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431

9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092

10709 Wayzata Blvd
Ste 100
Minnetonka, MN 55305
Phone (763) 553-1142

10709 Wayzata Blvd
Ste 200
Minnetonka, MN 55305

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

7125 Tamarack Rd
Ste 100
Woodbury, MN 55125

7125 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 748-4444

5717 Balcones Dr
Austin, TX 78731
Phone (512) 314-1613

925 Starwood Dr
Cedar Park, TX 78613

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1528053717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 TAYLOR DRAPER LN # 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593929",
            "telephone_number": "612-701-2888",
            "fax_number": "952-567-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPHAM",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "41668",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "41668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528053717",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34027700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "668057700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.