Active NPI
Donald Dyrone Chipman Jr., MD
- Pain Medicine (Anesthesiology) Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME93636
- Practice address
- 150 E Redstone Ave Ste a
Crestview, FL 32539-5322 - Phone
- (504) 752-6688
- Fax
- (850) 475-2669
- NPI assigned
- Jul 7, 2005
- Last updated
- Feb 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME93636 | FL | Primary |
| Pain Medicine Physician | 208VP0000X | ME93636 | FL |
Addresses
Primary practice location
150 E Redstone Ave Ste a
Crestview, FL 32539-5322
Mailing address
175 Main St Unit 235
Destin, FL 32541-9998
Phone (850) 475-2668
Other practice location 1
103 Pamela Ann Dr Ste 500
Fort Walton Beach, FL 32547-1383
Phone (850) 475-2668
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123490200 | Medicaid | FL | |
| ME93636 | Other | FL | LICENSE |
| 11456626 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Alabama School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 E Redstone Ave
Suite a
Crestview, FL 32539-5322
Phone (850) 475-2668
Hospital & facility affiliations
- North Okaloosa Medical Center
- Sacred Heart Hospital
- Baptist Hospital
- Sacred Heart Hospital on the Emerald Coast
- Andalusia Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93636 | FL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates PA | Current | Accepting new patients | |
| Orthopaedic Associates, PA | Current | Accepting new patients | |
| Aaron B Stein MD PLLC | Pain Medicine | Current | Accepting new patients |
| Aaron B Stein MD PLLC | Pain Medicine | Current | Accepting new patients |
| Fairhope Internal Medicine PC | Past | Accepting new patients | |
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Past | Accepting new patients | |
| Comprehensive Pain Medicine Inc | Pain Medicine | Past | Accepting new patients |
Locations
150 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 689-8004
5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646
175 Main St
Unit 235
Destin, FL 32541
36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210
554 Twin Cities Blvd
Ste D
Niceville, FL 32578
Phone (850) 315-9210
Interoperability endpoints
- dchipman@aaronstein.mdlogic.direct-ci.com
- dchipman@direct.orthoassociates.net
Organizations & group practices 7
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 The Pain Management Group
- Pain Medicine (Anesthesiology) Physician
- Crestview, FL
- NPI 1518107242
-
- Orthopaedic Surgery Physician
- Fort Walton Beach, FL
- NPI 1467589010
-
dba The Pain Management Group
- Pain Medicine (Anesthesiology) Physician
- Fort Walton Beach, FL
- NPI 1477356756
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1255001350
-
- Pain Medicine (Anesthesiology) Physician
- Pensacola, FL
- NPI 1679513931
-
- Internal Medicine Physician
- Fairhope, AL
- NPI 1295760494
-
- Interventional Pain Medicine Physician
- Chattanooga, TN
- NPI 1447203922
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
dba Andalusia Health
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1740287564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MAIN ST UNIT 235",
"city": "DESTIN",
"state": "FL",
"postal_code": "325419998",
"telephone_number": "850-475-2668",
"fax_number": "850-475-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E REDSTONE AVE STE A",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395322",
"telephone_number": "504-752-6688",
"fax_number": "850-475-2669"
}
],
"practiceLocations": [
{
"address_1": "103 Pamela Ann Dr Ste 500",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325471383",
"country_code": "US",
"telephone_number": "850-475-2668",
"fax_number": "850-475-2669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIPMAN",
"first_name": "DONALD",
"middle_name": "DYRONE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME93636",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME93636",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123490200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME93636",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11456626",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.