MARY NICOLE LILLIAN LIPSCOMB (PA-C) – Physician Assistant, NPI 1265056170
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MARY NICOLE LILLIAN LIPSCOMB (PA-C)
2271 S Depot St
Santa Maria, CA 934551216
Phone: (805) 739-3805
Fax: (805) 739-3806
Type: Location
1300 YORK AVE # 65
NEW YORK, NY 100654805
Phone: (212) 746-6565
Type: Mailing
1414 E MAIN ST STE 201
SANTA MARIA, CA 934544890
Phone:
Type: Mailing
316 S STRATFORD AVE STE B
SANTA MARIA, CA 934545908
Phone: (805) 332-8446
Fax: (805) 332-8173
Type: Location
206 S STRATFORD AVE STE A
SANTA MARIA, CA 934545901
Phone: (805) 739-3805
Fax: (805) 739-3806
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,662.
Total Amount is formed as General ($1,662) + Research ($0) + Ownership ($0) = $1,662.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,636).
Total Amount
$1,662
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,662
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,636 |
| Orthofix Medical, Inc. | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211207001474 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 93455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Physician Assistant | CA | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA |
Reviews
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