JEFFREY TODD LIPSCOMB (PA) – Physician Assistant, NPI 1558350124

JEFFREY TODD LIPSCOMB (PA) is a healthcare provider. based in Clearwater, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2374 (FL). The NPI Number for JEFFREY TODD LIPSCOMB (PA) is 1558350124

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY TODD LIPSCOMB (PA)
NPI
1558350124
Phone
(727) 445-1992
Address
455 PINELLAS ST
Enumeration Date
17 October 2005
Last Update Date
26 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273941911
Graduation Year
1990 (36 years ago)
PAC ID
4183767304
Group Practice PAC ID
9436108099
Professional Enrollment ID
I20100209000799
Address ID
FL337771207LA8839XRDXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JEFFREY TODD LIPSCOMB (PA)

  • 455, Pinellas Street, Clearwater, Pinellas County, Florida, 33756, United States

    STE 400

    CLEARWATER, FL 337563356

    Phone: (727) 445-1992

    Fax: (727) 445-1993

    Type: Mailing

  • 455 PINELIAS ST

    STE 400

    CLEARWATER, FL 337563356

    Phone: (727) 445-1911

    Fax: (727) 445-1986

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $238.

Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Boston Scientific Corporation ($165).

Total Amount

$238

General + Research + Ownership

Payments

7

Total payment records

General Amount

$238

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-02-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100209000799IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436108099View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Physician AssistantFL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Interventional CardiologyFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What is the registry number for JEFFREY TODD LIPSCOMB (PA)?
The registry entry for JEFFREY TODD LIPSCOMB (PA) shows NPI 1558350124.
Should I treat JEFFREY TODD LIPSCOMB (PA) as an active provider?
Patients and plans typically see JEFFREY TODD LIPSCOMB (PA) as active in the national extract.
What type of care does JEFFREY TODD LIPSCOMB (PA) provide?
JEFFREY TODD LIPSCOMB (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEFFREY TODD LIPSCOMB (PA)?
JEFFREY TODD LIPSCOMB (PA) is associated with Clearwater, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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