Active NPI
John Kenneth Lippincott, MD
- Ophthalmology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD28019
- Practice address
- 53 Sewall St
Portland, ME 04102-2625 - Phone
- (207) 828-2020
- Fax
- (207) 773-7034
- NPI assigned
- Feb 22, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 76892 | WI | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 76892 | WI | |
| Ophthalmology Physician | 207W00000X | MD28019 | ME | Primary |
Addresses
Primary practice location
53 Sewall St
Portland, ME 04102-2625
Mailing address
53 Sewall St
Portland, ME 04102-2625
Phone (207) 828-2020
Other practice location 1
925 N 87th St
Milwaukee, WI 53226-4812
Phone (414) 955-2020
Other practice location 2
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871094110 | Medicaid | ME | |
| 1871094110 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Mississippi School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
53 Sewall St
Portland, ME 04102-2625
Phone (207) 828-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28019 | ME | MD | Ophthalmology Physician |
| 76892 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Eyecare Medical Group | Ophthalmology | Current | Accepting new patients |
Locations
53 Sewall St
Portland, ME 04102
Phone (207) 350-5019
655 Main St
Ste 2
Saco, ME 04072
Phone (207) 828-2020
925 N 87th St
Milwaukee, WI 53226
Phone (414) 955-2020
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- jlippincott@eyecaremed.intellechartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Portland, ME
- NPI 1467557280
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1871094110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022625",
"telephone_number": "207-828-2020",
"fax_number": "207-773-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022625",
"telephone_number": "207-828-2020",
"fax_number": "207-773-7034"
}
],
"practiceLocations": [
{
"address_1": "925 N 87th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264812",
"country_code": "US",
"telephone_number": "414-955-2020",
"fax_number": "414-955-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264874",
"country_code": "US",
"telephone_number": "414-266-2020",
"fax_number": "414-266-2027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPPINCOTT",
"first_name": "JOHN",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "76892",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "WI",
"license": "76892",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ME",
"license": "MD28019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871094110",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871094110",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.