Individual provider Active NPI

Donald Dyrone Chipman Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Crestview, FL
National Provider Identifier
1740287564
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME93636 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123490200MedicaidFL
ME93636OtherFLLICENSE
11456626OtherCAQH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000380 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1658301411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron B Stein MD PLLCGroup PAC ID 3678630043, 2 clinicians

Practice addresses (Care Compare)

150 E Redstone Ave
Suite a
Crestview, FL 32539-5322
Phone (850) 475-2668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93636FLMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates PA CurrentSince Aug 3, 2015 Accepting new patients
Orthopaedic Associates, PA CurrentSince Aug 3, 2015 Accepting new patients
Aaron B Stein MD PLLC Pain Medicine CurrentSince Apr 6, 2025 Accepting new patients
Aaron B Stein MD PLLC Pain Medicine CurrentSince Jun 2, 2024 Accepting new patients
Fairhope Internal Medicine PC PastSince Jun 29, 2026 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

  • Direct secure messaging: dchipman@aaronstein.mdlogic.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.